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e <br />� ° <br />H <br />>HN <br />� �i <br />H 7�tl <br />�M� <br />[n y � <br />x <br />o�C <br />��8 <br />(�] Y � <br />r y�H <br />g�'� <br />�y�+ <br />t� <br />O V� <br />� � <br />� <br />� � � <br />1_''_' <br />� � <br />M'-` <br />CITY OF EVEAETT <br />ELECTRICAL WIAING PER!'1IT APPLiCATION <br />,70B ADDRE55 <br />TENANT <br />PROPERTY OWNER <br />� i I/ II_ I I <br />�, <br />� a�� I`�q <br />on�re -L -� <br />FEe �3�;, ov <br />ELECTRIC7�I. CONTRACTOR �����1F-S 1Ir� C7�Cl�tl �A - <br />CONTRACTOR'S nooRess Lo2�3 Ji-(CLYtc�Pr/ 6�UC� �tA%u)��G� ��lA �� <br />CITY 2IP <br />LICENSE NO. 1'71rIYi tfS IU�� F.XPTRATION DATE . j'�I'-IZ - <br />PIIONE N0. ��� 0��� <br />ADMINIST3UITOR <br />V71LUE OF WORK `N' C7�� �� _(do not include taxes) <br />(for commerical wo=k) <br />USE OF BUILDING � <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Washington. <br />Appli�ants with such jobs must sl�ow the State apF=oved plans before a City <br />of Everett pezm:t will be issuecl. <br />NOTE: Wiring in non dwellings is required to Ue in conduit. <br />WORK TO BE DONE: � <br />� . u5 �DY� Q- — <br />J <br />SIGNED: <br />i � o� h i� Li._ 1�r, j�c.o DATE : <br />