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.... . . <br /> ,--�� <br /> � <br /> ; , n <br /> CITY OF EVEAETT D�TE " r I I 1 <br /> _� <br /> ELECTASCAI+ WIRING PE[iMIT APPLICATION FEE <br /> /� (,� ), �,/ �I �( <br /> � <br /> JOB AbDRESS � I � -I �I-P 1 � �j-�`'� V�1� Y �-- . . <br /> TENAtiT � <br /> /� i <br /> PROPERTY OWNER � . I � �f � I Q/I'I�� S 1 I � � /� �� � <br /> 1 <br /> ELECTRICAL CONTNICTOR ' I I ' 1 .-'_Y �- ' <br /> CONTMCTOR'S TDDRESS .� � � ` ' <br /> CITY ZIP <br /> LICENSE NO. � I P��1 1 '_ IIP O I �� BXPTRATION DATE <br /> I � � 7 � - �Y � 5 � <br /> 11DMINISTRATOR ��,�Tl S__I L�I�S �� PIIONG N0. ) � <br /> V1�LUE OF WORK (do not include taxesl <br /> (for commerical work),. � <br /> � � /1 1 ,-,���r�^s / � ,/' , <br /> U5B OF BUILDING �_ � _`J�'- �—✓� � ��U)��X� <br /> NOTE� WAC 296-46-140 requires tliat plans for electiical wock at educational, <br /> • institutional or health care facilities be approved by tlie State of Weshington. <br /> Appllcants with such jobs must sliow tlie State appcoved plans Uefore a City <br /> of Everett pezmit will be issued. <br /> NOTEt Wirihq in non dwellings is requited Eo be in conduit. <br /> WORK TO BE bONE: ,. <br /> �P�r—'�'���r,�e�' - <br /> M <br /> . � <br /> ��� � ��� D11TE t � �I� � � <br /> SIGNEDt i <br /> :!,��'.�'.:1..':R�t9�."7"J�"Jl�7��i'Z.'R[.r�21.'79�U:f:'►'.9T�v?.P.!^l'1Cf�•:94'„a•J1��CT,7'L^a"':J.���'�':«.-ii:;.����y��.. -,,yb�v�i:3.�Nn�.��:.�u��'�°ioM:1y"�',r•.'c. <br />