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C.� <br /> , ,. <br /> Dnms 6 � S "� <br /> CI'fY OP EVER6TT ��° <br /> � � <br /> FE6 ,�S '� <br /> p'�"� ELECTRICI�L WZRING PER4fIT APPLICATION <br /> Cy y <br /> y � M r-F 1 1� ( � / /'!!� l� �� /� � <br /> � JOH ADDRESS / <br /> �S <br /> "n � 'a TENANT . i1i7 . . . C/��'i7 i , ��:_, . <br /> � y � j/r %l, .-�,�, ���i�l � .:,��,J <br /> � -����. / i <br /> ro PROPERTY OWNER S�/�JF��� �� <br /> O N ¢ _— <br /> M ;� % ELECTRZCIS. CONTRACTOR � -s <br /> c� <br /> �i y �y CONTRACTOR'S I�DDRESS . CITY ZIP <br /> N H ' <br /> N <br /> ty N . E4pSRATION DATE <br /> � � � LICENSE N0. , `7,� � U L Z S ' ' <br /> y y PtiONE NO. <br /> � ADMINISTRATOR <br /> - (do not include taxes) <br /> VALUE OF WORK <br /> (for commezical work) <br /> �_ � �' <br /> USE O£ BUILDING �' <br /> C10TE: WAC 296-46-190 requires that plans for electPi=oved bk thee5tatelofaWashington. <br /> institutional or health�bsamustashowtthe Stata approved plans before a City <br /> Applicants with such j <br /> of Everett permit will be issued. <br /> i " - �� NOTE: Wiring in non dwellings is requized to be in conduit. <br /> � `� <br /> � � � WOAK TO BE DONE: � <br /> i / <br /> r� —�/�JP-'� <br /> 1 ��� �� �-� � 7CCl ��G �CC � <br /> � �iJ� cv <br /> ��� <br /> , , . � o . <br /> � �� <br /> � / <br /> �► ��! � -i'o <br /> ���� � �� DATE• ' 'S_ <br /> �� <br /> SIGNED/�,g�l `�, <br /> a, '�.. <br /> I ' � <br /> ' �_ � �_�. : . : . <br /> a" �` .`�t}. � .� . ,,,n.. . <br /> �■�. t � '1�� t ,�`� <br /> r <br /> 3/27/9� .,��. � :�;� 7,x . <br /> � w^ � 1 y <br /> � '� .:[' i A � ,�r;^ ; <br /> C 'F�—��.x h ' . <br /> �,._ y . Y,Y ..li dt��_. ek. <br />