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<br /> '.:' EI.ECTRICHL WIRINC PERMIT APpLICATION FE� J�� SO
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<br /> y � PROPEATY OWNER �e�' �.✓G CG
<br /> ` ELECTRICAL OONTRACT'OR ��tSOf1 E1 ci r'�r (�
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<br /> k}: CONTRACTOR'S ADDAESS ++� c ��� ;
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<br /> ' LICENSE N0. 'p�,��OEG3�P3
<br /> �'. ' EXPTRATION DATE ���/C,�
<br />�. �f • ADMINZSTRJITOA ��y�S+�a PHONE N0. _ 3y7-(��
<br /> �y � V�1LUE OF iiORK `� �� �
<br /> ---�-�.._5'��' (do not include taxea)
<br /> �: (for commarical work) 3
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<br /> USE OF BUILDING '�°
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<br /> NOT'E: WAC Z96-4G-140 requirea that plana for electrical work at educational, � 'S
<br /> , institutional or health care facilitiea be approvnd by the State of Washington. ; '
<br /> Applicants with such joba must ehow tha State approved plans before a City ' ; '
<br /> of Everett permit will be iasued. -
<br /> � NOTE� Witing 1n non dweilinge is requirad to be in conduit.
<br /> 1tOR1'C TO BE DONEi �
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