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<br />CITY UF GVGRETT �ATE � �J�/Q '�II����' �� .
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<br />CLECTRICAL WIRIPIG PEriMIT APPLICnTION FEE " 3 �`��t,�"y;�il�;,�,''
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<br />JOB ]1DDRESS ,
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<br />ELECTriIC11L CONT121�CTOR 8�� N�DN I NC � - . .
<br />CONTit11CTOR' S 11DDfiESS �0 g�_S269 LyNNUsd,fl `dif� . �g0�� -
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<br />LIC6NSE P70. EXL'SIU\'fl�t� b�T� . � . � � •
<br />ADMINISTR71TOIt �%�yE �viVv0ln) FIIONG N0. %%( `}�f(5� � � �' ' i�
<br />V11LUE OF WOI2K 5�.� (�lo not include taxes) , �
<br />(Eor commerical work),.
<br />U56 OF IIUILDING L�OMF4�IGA'L
<br />CIOTE: WnC 296-46-140 requires t1iaL• plaus Lor electrical work aL• educational, ;. �
<br />insL•i{:utional or l�eall•h caze facilities bc approved by the ;,tal•e of Wssltingto:�.�,;; :��' ;
<br />Dpplicatihs witlt such jobs mu,l sliow tlie 5l•aL•e aporoved plans beEore a Citiy i:��!;,;'� �
<br />oE Everett pecmit will be issued. �',�'
<br />tIOTEe Wlring in non 8wellingc i:r rr_quired to be Ln conduit. '� •
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<br />WORK TO BE DONE: , �;�: �
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