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H�� <br />C�� <br />!HN <br />H�� <br />�H� <br />� M '+R <br />(p H <br />Zp <br />�HC7 <br />O �+ <br />��8 <br />n� o <br />H <br />� i-+ H <br />N <br />gd� <br />��+ <br />�Hf�i� <br />HOtn <br />C� <br />CITY OF EVERL•TT <br />ELECTRICAL WIRING PEIiMIT I�PPLICATIOH <br />.)OB 71DDRE55 <br />TENt�NT <br />Dl\TE �-�j,� - c/ / <br />o_ <br />FEE �S 4 <br />PROPERTY OWNGA _�q/y)r fJ5 i%OCG�� <br />ELECTRICAL CONTRI�CTOA G� r, S__ ll.. C�. � <br />CONTRACTOR'S ADDRG55 �/%f'� �IS lI6DUE� <br />CZTY 21� <br />LICGNSE NO. <br />ADMINISTRATOR <br />LHPTIi7�TI0N bATE - <br />P110NG N0. �J J � "�%�G <br />VN.UG OF WORK .J �� (do not include texes) <br />(for commerical wo:rk) <br />USE OF BUILDING � <br />_aL =� <br />NOTE: WAC 7.96-4G-:L40 requires that plan� for electrical work at educational� <br />inst•itutional or health care facilities be approved by the State of Washington. <br />Applicants vith such jobs must show the State approved plans before a City <br />of Everett permit will be iscued. <br />NOTE: Wiring in non dwellings is requized to be in conduit. <br />WORK TO BE DONE: <br />� � <br />SIGNGD: <br />� <br />DATE: J���'3�c1/ <br />