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� �� <br /> o �C <br /> ! H Vi <br /> , <br /> H � Atli `"" <br /> �i f; <br /> H :9 <br /> '�VM� <br /> ��� CITY OF EVERETT, Gl�T_: �' - �- `1 G _ <br /> , <br /> � � C ELECTRICF�L WIRING PERMIT APPLICATION FEE: �'��_, <br /> ��g <br /> n� o <br /> �y� JOB ADDFE55 ���� �' �/� G Ac�W � y <br /> C� � '/ <br /> gv~iH TENANT iSf�Ce-�N�/JS fyic/iz SiF%nJ � /1�1�5/���iY C�fn�frC'2 <br /> �c���n <br /> � PRCPERTY OWNER �f]2�Y ��O�/!� <br /> p cyn ELECTRICaL CONTRACTOR �c Gl.vT✓ C ��eC�/LlC- <br /> ELEC. CONTRACTOR'S MAILING ADDRESSr^!,� /1/'O�h �-I/'t.-- <br /> LICENSE N0. /YIC�o/<v� y71C/� EXPIRATION DATE r,7- ,� d- `�� <br /> ADMINISTRATCP, m -P /YIc � �� T PHONE N0. �S„�- �u� '�( �T <br /> VALUE OF WOP,K �do not include taxes) <br /> (for cormerciTwor <br /> USE OF BUTLDING OFr`' /C r ��'�� ��4 L <br /> (r� NOTE: WAC 296-46-140 requires that plans for electrical work at eCucational, <br /> � institutional or health care facilities be approved by the State of <br /> � � Washinoton. Ppplicants with such jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> � � <br /> ' WGRK TO BE DONE: <br /> f�'�r�_�� I fS d- Ou�l-{ � _ f z l'o J-Q 2 <br /> + ��. — <br /> 1��j <br /> 1-'"�j. <br /> ; � <br /> � 1 SIGNED : %�G DATE �y`�" � � <br /> NOTES AND COMME'JTS: <br />