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. i - _ � <br /> ; <br /> � <br /> . ; <br /> � <br /> ; - ., <br /> � <br /> ; <br /> ; <br /> : <br /> _ ; <br /> ��� � � ; <br /> � � ; <br /> H� � <br /> rC o �i I <br /> ��� � � <br /> � <br /> �xo � <br /> h • <br /> Hp� CIT': OF EVERETT ' , DATC IU C <br /> G7 FEE �3� <br /> �� ELECTRICAL WIRING PEFMIT APPLICATION � <br /> H <br /> �� ,oB �o�ss . 5321 �v�7ZC��2E� ���-�( . <br /> �� TENANT /��I I Li/1�-c �� `�l �SP I �1 /T� �` � I' � Jf�OI� � <br /> , . y�p PAOPEATY OWNEA L�� P�7�� N !-.� Y�IAl�H '�+� CII� ' <br /> � O n . � ,�[� . <br /> . .. ._ ..�- ELECTRICI�L CONTRACTOR �f-1 I IJ lC_� �E 1 '� � ��� • - � <br /> I / �j�7 /y�� <br /> � CONTRACTOA'S ADDRESS / � O S �� �f )/-� � ���� �" /,� ,� <br /> � CITY 2IP <br /> � ^ .�,� <br /> I LICENSE N0. �f�Ilvt� I ��"�L�� EXPTRIITION DATE � _ � S <br /> ' � � ADMINISTRATOR PE �T� < <f�)�-F- P110NE �]0. � Zl� - �O��l ��, <br /> ( � � /l' /'�/� � <br /> ( ' VALUE OF WORK ��t,i.,. .y�]__ (do not include taxe3) <br /> ��' (for commerical work) � <br /> I ' • ` <br /> i <br /> USE OF BVILDING ��� SI'�'� <br /> I s • ' <br /> ' �s� NOTE: WAC 296-46-140 tequires that plans for electrical work at educational, � <br /> institutional or health care facilities be approved by the State of Washington. <br /> I <br /> Applicants with such jobs must show the State appcoved plans�before a City i <br /> of Everett pezmit will be issued. '� <br /> ��. <br /> NOTE: Wirinq in non-dwellings is requi=ed to be in conduit. <br /> �. ' <br /> s�I� WORK TO BE DONE: <br /> • �17 (Y10 V'2 �,F I l��h(� U 2 C S<-P�,.�� _ <br /> �� �.� 1 1� `�� fK�-�(�S S� � <br /> N b ��-U �C� �..vb�x ��t5+�� — <br /> � <br /> �I:� ,, <br /> �_ _ <br /> , <br /> ' L�LL_ <br /> SIGNED: <br /> �� DATE: � <br /> ;+ � <br />