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� . <br /> ; <br /> ��� A.. <br /> C �+ - <br /> ��� . . . .... <br /> �1��I � <br /> ��o� � <br /> i <br /> HC <br /> OH <br /> p�g <br /> H <br /> ��� -ic� �-9/ <br /> � �..� DATE <br /> �� <br /> � CITy OF EVERETT �j�/ <br /> FEE J <br /> o� ELECTRZCAI. 'AIRING PERMLT APPLICATION <br /> � JOB ADDRESS / b D � �t CA � �Y�e S� ✓�V� ' .-------- <br /> TENANT <br /> PROPERTY 0�1NER � I I <br /> ��� <br /> ELECTRICAL CONTRACTOR C N 'l � In.O �C'� � �� <br /> D� �"� n e � av rs�, �2 /cb'� - <br /> CONTRACTOR'S ADDRESS CITY ZIp <br /> LICENSE NO. / ('� /1 <br /> �T�� I� I �� EXPTRATION DATE I� � .. <br /> I I AD?AINISTRATOR �! � 11 ' \ 1��'��� PHONE NO. (�� / �`���j _ <br /> 1�' (do not include taxes) . . � . <br /> VALUE OF WORK <br /> '�' . (for commerical work) , <br /> 1�' OSE OF BUILDING � � � <br /> '�t � NOTE: wAC 296-46-140 requires that plans for electrical work at educational, <br /> ' ' . institutional or health care facilities be approved by tlanstbefore aaCity9ton. <br /> � Applicants with such jobs must show the State approved p <br /> of Everett permit will be issued. <br /> ' ; NOTE: Wiring in non dwellings is required to be in conduit. <br /> � <br /> r_' WORK TO BE DONE: � " <br /> �_I D � � . <br /> _� <br /> =1 <br /> ` ' • '// / � 1 /`�j� DATE: - < � <br /> SIGNED: <br />