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1 <br /> H C) -�+ <br /> �� M � <br /> � HN <br /> ��� � �� � <br /> ��M CIT1' OF EVER� OATE: � � <br /> � �� ELECTRICAL M7RING PERMI7 APPLICATION F�: <br /> O �-+ <br /> a`�g �(� 3/ Ca�-�3� <br /> �' JOB ADDRESS <br /> 9 H '` � .— <br /> t�� y y TENANT ��U�f Lv �C)I�TU����� <br /> c�i,�t~n PROP�TY OWrER �n'Z <br /> �y y y ELECTRICAL CONTRACTOR /{'C �1a1'i L-Z� L— <br /> HOfn <br /> ELEC. CONTRACTOR'S MAILI�JG FDDRE=:. /�C� l�U� �jP��� <br /> LiCEDLSE NC!. /��.(IDL� /3Z-Z �/�. EX'rT_R?-it�N DATc �U <br /> AOMINISTRATCR ( ��{ �1���-L P�� '�. ` S � ' `�JS ; <br /> VALUE OP 'NORK ��U� �� (Co not inclutle taxes) � <br /> (for commercia wo:k) <br /> USc' OF 6UILDING �f�<< L% — <br /> ��� NOTE: wAC 296-46-140 reauires that plans foz electrical wcrk at educational, <br /> institutional or health care facilit:es be approvec by the State of <br /> 'Nashinoton. Applicants with such jObs c.ust show the State-approvetl plans <br /> i , • before a City of Everett permit will be issuea. <br /> �� WORK TO EE DOhE: <br /> y"DU/� sl.�jfitC� ,� �LliFTZ� L�/k�G <br /> I �'� /✓U�U Crv1� i - <br /> 1��� <br /> 1 I�j <br /> � / �� �� � 7- ��` <br /> I �I� SIGNED : �/"�� '--I"��i+2-%t DATE � I <br /> \ <br /> � NOTES AND COha1ENT5: <br /> � ;� <br /> � �� <br />