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' fi 9i:�lQkiII.6�`:Y r}S?Ic:iil]LL! 1i7 ;:;YI: d:lii28�1A1.`�_II'ln4 C"'d.:(S(iti d'1Li..ILtiv9i�.:G:L.l�L'.ti 1a u.1:J�1L.-e.�; �,�,1.'2um:�a a.t'.:. <br />CITY OF EVERETT ' <br />ELECTRICAL 47IRING PF:RkIT APPLICATION <br />DATE�� �T <br />�G <br />FEE� <br />aoe r�onsss . /� 5�'1 I ✓ �: ! % p� �V ',zLVi � — <br />� <br />Tei.nNT /i-r�/ n� r-'�/G��-f"T = �t�� _�''r."�". <br />, <br />PROPEIITY OWNER /�-�/.�a�-- .E"�,��='-�"�` ,- <br />ELECfR1CAL CONTAACT'OR � l��/ �.a�% CfI'J10..-T�•t t\ <br />rne�Tw�cron� s nroaass � I n �� l GT�A� �= F%��e'�"�� `"� )� - <br />CITY Z=p <br />LICENSE NO. j1/4_ _ E%YTMTION D�TE � <br />� <br />ADMINISTAATOR PIIONE NO. __ <br />�{, ^- �� �y� ��- (do not include Faxes) <br />VALUE OF WORK � _ <br />(fox commerical dozk) ' <br />USE OF BUILDING yl�� �TfI}-� �//�I�� <br />NOTE: WAC 296-46-140 zequizes t:�at plans for electzical work at educational, <br />inatitutional or health care facilities be appeove3 by the State oF Washington. <br />Applicants aith st^.h jo6s must sF.ow the State approved plans�6efore a City <br />of Evesett parmit w:ll be issued. <br />NOTE: Wiring in non d�aellings la requiced to be in conduit. <br />WOpI( TO HE WNEs <br />/ " <br />!r ,�i� lYr �,v,i ��/' J "/i � 7-�n �/-L �.,�,°r ' -t .c..'� <br />SIGNE�: ' DATE: <br />