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i <br /> I <br /> � . ... .. . � . I <br /> �� p � I <br /> ��'� i <br /> iazx ,�'� � <br /> >y y DATC_�/ ' <br /> �y CITY OF EVEfiETT p <br /> FEE ��7� <br /> G <br /> O x O ELECTRICAL WIRI4IG PEIiMIT I+PPLICATIOCI <br /> � �H • . . <br /> � o� ooe nDo�ss Q� 2 S l'v2v�prree,►/ �T <br /> H t7 � <br /> "�.0 C�� TGN7INT . <br /> H i�7 <br /> ,n" n l�.ff0 ' a <br /> H � pROPERTY OWf1ER � I <br /> g H y [,,�Ke Src{.e ►=Ce fi � <br /> ELECT[1IC11L CONTRACT�R � <br /> �' ooz st- �ai !¢�6d/Zn/ 9aoo 2_ <br /> O C1(/� CO N T A 7 1 C TOR'S ADDAE55 I � 22P � <br /> CITY <br /> � �� rl / q <br /> EXPlMTION DATE � I / 3 <br /> HO� LICGNSE N0. �i��eSQL.C77 KG � . <br /> PIIONE N0. �c`� S6 f 9 � <br /> /�L'.SINISTRI�TOR Gt� S� �� <br /> V1�LUE OF WORK I S DO?J <br /> (do not include taxes) <br /> , (for commerical work),. <br /> �'4�' llSE OF DUILDING � ���C'� <br /> �� <br /> �, NOTE: WAC 296-46-140 iequires that plans Lor electzical wock at educationa � <br /> ' ,�� � institutional or health caze facilities be approved by the State oE Washingl•on. <br /> II� � • ppplicants with such jobs must sl�ow the State appzoved plans before a City i <br /> of Everett permit will be issued. <br /> I�i � NOTE: Wiring in non daellings is zequired to be in conduit. <br /> I -•s.�. <br /> '��,�'� WORK TO BE DONE: • �- <br /> IC2vyt�1'�e`- 2�fr���[� s�o4c� � /1/Gul /tMN�l.r/ <br /> 1�. .�j <br /> �.•� <br /> O,m'"� M <br /> ��% ��� <br /> 1-I A ' D11TE: /O 2� / <br /> SIGNIiD: _(df ��"""' , <br />