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� �i <br /> ' { <br /> I <br /> � � � <br /> � <br /> � � <br /> ��� <br /> R�� � <br /> ��� <br /> ;I <br /> ��� CITY OF EVERETT DATE_� � <br /> O� � <br /> �p ELECTP.iCAL i9lR.it:G 'rLFMIT APPLZCnTION FEE <br /> �y <br /> M+ ' / <br /> a p.� JOfl A➢DF.F.SS yL%/it C PL/.3•J <br /> �G <br /> �� TENANT i'� <br /> ^ PROPERTY OWNER �. �. I�/��'lN/J�/G L ,Q (�OiQ� <br /> ELECTRICAL CONTRACTOR dAiUNonloy Gpuiv�., J�c/d � / '-.••I I I <br /> /� J i <br /> CONTRACTOR'S ADDRESS _ Y� U /�-p�! //U? G��nL�� L.(�/� /� <br /> >6206 - <br /> CZTY ZIP � �� , <br /> LZCENSE NO. <br /> 'cXPZRATION DATE � <br /> /--� �� � AOMZNISiRATOA PHONE N0. <br /> � �� <br /> VALUE OF WORK (do not include taxes) . � ' <br /> 1 , . (for commezical work) <br /> I��' USE OF BUILDIN,i 1 LY717f�O.P/���-/ SC.�U/ [ t� /L�j� �S�,OCaV/�� ( <br /> ��� . <br /> ' NOTE: WAC 296-46-140 r=auires that plans for electrical work at educational, -�I� :_I���', <br /> � <br /> • institutional or health care facilities be approved by the State of Washington. ,- � i ,,� <br /> 1 ��'�`� Aoplicants with such jobs mcst show the State anproved plans before a City _ �_',� � <br /> of Everett permit will be issued. i �� �'P <br /> NOTE: Wiring in non dwellinqs is required to be in coaduit. I, ,+, <br /> � � <br /> ���� �' „ <br /> � WORF: TO BE WNE: i � � <br /> I �•.� � �S:/�c-< /!/97.OG.P�i� �c.c�t�i L Lr , .�'�� { .� I�. �. <br /> i ' � ' `� I�� <br /> i � <br /> I�1� �� <br /> , - �, � <br /> ,iC � <br /> � � ,. <br /> SIGNED: K � ,r c DATE: ��� � - <br /> I <br /> . f'__. <br /> i', . ' �. <br /> . <br /> I �j , <br /> .- <br />