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CITY OF EVHRETT DATE <br /> ELECTRICAL WIRING PERMZT APPLICATION .If�, I f�� �, .� a�jz c�;M�,Gi f� � <br /> JOB ADDRESS � .� � � L. B 7v� �i�C�� �/ ��" — <br /> TENANT . � � � <br /> PROPERTY OWNEX f /C' N� ( % � ���/i I'v�' < � (`Lik / L...�•��-i/%?�y� C!) c.G-"�f-t <br /> ELECTRICAL CONTRACTOR �C� ����� SS /"� �/f/c ��'�� � <br /> ' ��1 C" ,'.. <br /> � �' L1 � yii �e� J /i'lcr f �:��.�1� /,f < <- f <br /> CONTRACTOR'S ADDRE55 �- � CIT� ZIP <br /> LICENSE N0. /�1��'-SS�� '�' �J J �C� «�' EXPTRATION DATE � ��/�,�/7 C' <br /> I �' � PHONE N0. -��� '3-�� � <br /> ADI4INISTRATOk .�/��,-✓ / ��� ��� �"� <br /> VALUE OF 4i0RK /�� �� (do not include taxes) <br /> (for cummerical work) � <br /> � �L(.bC L <br /> USL• OF BUILDING ( �- <br /> NOTE: 47AC 296-46-140 requires that plans for electrical �aork at �ducational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> applicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> t:OTE: [9iring in non d�,�ellings is required to be in conduit. <br /> F70RF: TG BE DONG: <br /> � / <br /> (. � (l f N L . "�YV",C ';y �_ <br /> . � <br /> % ! / > <br /> j0 ' �-'1_ DATE: �/� � G' ' )C� <br /> SIGCiED: ii '� �:�.. , � L L�''� ��-- <br /> �I <br /> 3/_'7/�0 <br />