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,Y-. <br /> � . <br /> CITY OF EVEA6TT ,' ' �f1TE�� I �.. / � <br /> I �J��ap <br /> EL4CTRICI�L WIALNG P�NMIT APPLICATION FEE_ G�J �� <br /> � � <br /> ,oB �o�ss .� �1� ,.�1� � �� r�� c� -i-W e �'_,l.e ✓ ��I—{— . , <br /> TEN7INT �I _ <br /> PROPEATY OWNER ` l�' I ' ( D� I <br /> _ / ' \ � / <br /> ELECTRICIIL CONTIt11CTOA � ' <br /> CONTMC'fOR'S ADDRESS �VI'� � ��� � - <br /> �— / CITY ZIP <br /> / <br /> LICFNSE NO. ' � �Q L EXPTMTION D71TE � <br /> AbMINISTRATOR / (iL J /� � ` ; PItONE H0. � `) ( — !' / ? �1 <br /> V11LUfi OF WOR1C (do not include taxes) <br /> (for commerical work)..\ <br /> USE OF BUILDING �JI ..W ( P ��/ <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> • institutional or health care facilities be approved by tlie State of Washington. <br /> Applicante with sucli jobs must sl�ow tlie SEate approvec] plans before a CiEy <br /> of Everett permit will be issued. <br /> NOTE� Wiriny in hon dwellings is required to be in conduit. <br /> HORK TO BE WNE: / ,. <br /> �� �� - <br /> / / <br /> �, � L <br /> , <br /> SIGNEDt / ^�\// DnTE� �'� � � � <br /> � � <br /> i <br /> .•�m�s.;�-av.�r,���awrm:+m��:!�zeer.�,r�r:ar��.a��+rn�vnemr�rn.-nL�tr.'m!tC!v"r�"'r.".TOItW": . .^..'r�P ':�" '"'� '?'�_. <br /> .....1 i y _r.,,, L�!!'Yr ��il�t;�,"��ifY'+. <br />