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�'�. <br /> � <br /> � <br /> � <br /> �� �y " � � �;�,•�m �,sr-s�""'�,., <br /> C�M ' � <br /> ��� � � <br /> 'il�71 <br /> fA t+ <br /> �Q�n <br /> O�-+ <br /> C� <br /> QRI ' h <br /> y � CZTY OF EVERETT DATE v� �/ � <br /> H �� <br /> '�N <br /> �H y ELECTRICAL WIRING PERMIT AFPLICATION FEE �'�. <br /> W <br /> ���' ;��/� �- �3/� � � � t '. <br /> � JOB ADDRESS ��, S L��, �� <br /> TENANT I' <br /> H O�.�o _ �/� ,A� �, <br /> PROPERTY OWNER ( Y� I� ' '✓Q.I�� � .. <br /> ELECSRICAL CONTRACTOR � S C� �II <br /> CONTRACTOR'S ADDRESS 9 .� av.- s—� -�U-��, �us /�e Cb��.�(J _ � <br /> � TY ZIP I <br /> LICENSE NO. �J., �/S C7,� 1 �o[I I�,I�- EXPIRATION DATE � �o� 7 / <br /> ADMINISTRATOR Si�ll � C CI�W1-6— PHONE N0. ((� �-Q/`�� <br /> V11LUE OF WORK (do not include taxes) <br /> �� (for commerical work), <br /> � USE OF BUILDING ���� ��///il . �� S , ' <br /> 1 {'� I •NOTE: WAC 296-96-140 requires that plans for electrical work at educational, <br /> I `� institvtional or health care facilities be aFproved by the State oP Washington. <br /> . Applicants with s�ch jobs must sl�ow the State approved plans before a City <br /> � of Everett penn:t will be issUed. <br /> I �� <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> . �� . WORK TO BE DONE: . <br /> � a � �� <br /> ' � �_ <br /> _ _ <br /> -.�.. _ <br /> sicNe�: �-�� �/ l' ��l'72-[X-� _ onxE: r�� � �-G// <br /> _ _ --- __...._---.. .------_ .__._.____. <br /> ___.��..___.___, ._ , .._. . . �_._..,. _ .....=-r.:- <br />