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�'rry����2rY}:�" � � '. . <br />`��'rr <br />� <br />; <br />, <br />f • ` <br />CITY OF EVBAETT <br />. � gyg�T�tLCAI, WIRING PER!!IT APPLICATION <br />0 <br />DATB <br />/ <br />FEB .3 �5 <br />JOB 11DDRE83 � C1 \ 2..� �\ r f� �' (i FF � W fPc� _ - <br />xe�nt�'r ".'-'�— <br />r�orexrx owr�� �.Dtl�.l�— --- <br />ELECTAICAL CONTRACTOA ,S�L.\ -. �1 �si� ..r 1 IV C . _. . <br />.�� x_�'Z� p A� n�� (1 oI �3C7�] 3 <br />ppNTRACTOR'S ADDRESS �Q_T CITY 2IP <br />'I Q lAI.�I-�32Y��i Q c -G2_G� <br />LICSNSB N0. EXPTRATION DArE' <br />i <br />PHONE NO. D� � ' � 3/`� <br />ADFIINISTRATUR ^^ � l I�A \ "C �_ — <br />� (do not include taxea) <br />VALUE OF NORK �-g 80� <br />(Lor commerical wo=k) � <br />USE OF BUILDING <br />NOTS: WAC 296-46-140 requires that pla�s for electri�oved bk theeStat�ioEaWashington. <br />. inatitutional or health care facilitiea be aPP Y <br />Applicanta with such jobs muet show the State approved plans�before a City <br />of Everett pazmit will be isaued. <br />ppTg: Wirinq in non dwellings is zequired to be in conduit. <br />WOAtC TO B6 DONEs <br />'� �� DATE: _1 n – �,5.�9�--.- <br />SIGNBDs � <br />.. /` <br />v <br />. . .._.. . . __�.... <br />----._ ... ._�.. <br />■ <br />� <br />t � <br />� ° <br />.f� <br />` v <br />, .i <br />' �. <br />•; <br />�'� <br />I <br />;,f� <br />._..� � �+ � <br />�, <br />I <br />_ <br />