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, <br /> ""� <br /> e <br /> � <br /> .=� <br /> , � <br /> ��p� , CZTY OF EVEAETT :; ' . . �ATE 3� y <br /> Cy� / / <br /> �'�� � ELECTRICAL WIAING PERMIT APPLICATION . � FEE Z '73,�� y <br /> •�' ,s'�f �� <br /> n 4 <br /> ��� JOB ADDRESS � �OO ,3 CV C'/J J �.�/o �D � P�4G � ? �- 'zi � ��„,�••. <br /> Vl� "' <br /> � a <br /> �y+ TENANT ��t"`,.' <br /> i.��, <br /> �Pl O � � PROPERTY OWlIER �o t i w/G CG . n�"'�a <br /> r.'�'�i�� •� <br /> p" n � ELECPAICAL CONTRT.CTOA t �°'s ° . <br /> �uttnn Elrctr� Cn � =nC. � <br /> �H� ; lal� R(> Strr t- X-r�tF-� �R203 � � t <br /> y CONTAACTOR'S ADDRESS '�'�' � � F <br /> y CITY 2IP yi�,: : ° <br /> �-1 < <br /> ��n � LICENSE N0. -Dl.\T�TCEC�3�1�i�j E%PTAA^ION DATE � /(7��9� ' h�.u.:,} +". <br /> y�i • ADMINISTAATOR �1�Y_ C%�'�ncS'F�A PHONE NO. �J�I-7"1�c�.O '+�t !rv� <br /> 6 V+ , � . ��i: <br /> �� � VAI.UE OF WORK / �, (/� �E � _ (do not include taxes) � '��'`�`°� <br /> � (for commerical work) <br /> �i USE OF BUILDING (�,«� S'NE�r F .rS <br /> i <br /> NOTEe WAC 296-46-140 reqcizes that plans for electrical wo=k at educational, <br /> inetitutional or health care faeilities he approved by the State of washington. <br /> ' Applicants with auch jobe must ahow the State approved plana bafore a City <br /> of Everett permit will be iseued. . <br /> ; NOTE: Wiring in non dwellinqs is required to be in conduit. <br /> ���, i <br /> � WOAK TO BE DONEt <br /> � I I . �-' <br /> � _ • !il)11�/ �Idcu f�Q/�1 ,� <br /> ,� p�: <br /> ' �� <br /> , <br /> � �� <br /> '� ' 1 1, SIGNEDi r� (t (`� �I I. � I� I I f I /1 /� J � DATE: -' ) <br /> � ��� � <br /> � <br /> �_� ��Z��q� , <br /> i <br />