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=� <br />C+! LTl � <br />,o�x <br />C, H <br />�9 H (n <br />H �3 <br />� H� <br />"��J H'�J <br />Vi H <br />LTl O � <br />H C7 <br />O H <br />H/1�g <br />y� V C] <br />9H� <br />g� <br />�y <br />C� t7 fn <br />��� <br />HOti <br />� ,<•,.� <,�� <br />° r�piir `°.� �n,�,.-.'�. � w ��akr��"`y<>,n r`�i <br />� <br />CITY OF EVERETT <br />ELECT[ttCAL WI[iITIG PEIit4IT APPLLCATION <br />�oe nnoasss <br />TBN7INT <br />PROPERTY OWNER <br />r <br />�� <br />�ATE C7� � S `7 / <br />FEE /' �V <br />� 11 � I L '� I � <br />ELECTRICI�f, CONTRI�CTOR �A <br />��o ,C rc �G' G7 S F: V c Y}' "J �� n 3 .. <br />CONTRACTOR'S 11�DRESS �Irp ZIp <br />LICENSE C10. )a �,���� `^ �^ � � � 'v � <br />110MICIISTRATOR; J(n' � I� C�+J�I_L_I�1-!�n <br />) I � .n � n-%' <br />V11LUE OF WOSiK i r <br />(for commerical ��,ork).. <br />USf OF DUILDING <br />exeinnmio�t onre .� � n� <br />pII0NGN0. 3SS— � a �f <br />(do not iticlude taxes) <br />i <br />NOTE: WAC 296-46-140 requixes that plans for electrical work al• educational, <br />instlEutional or heall•h caze facililies be approved by the State of Washington. <br />• npplicauts with such jobs must show tha State apptoved plans befoze a City <br />of Sverett permit will be i�sued. <br />tJOTE: Wiring iti non dwellings is required to be in conduit. <br />4iOtiK TO SE DONE: • <br />�L, <br />SIGNCDe <br />. . .b : i ;i tr«. <br />D71TE i 7��� <br />�......� ,. ..-...... , «-.,... „n�.•.�n.ci�+•a,.+. <br />... ._'__".� ... . I <br />I <br />