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�• T <br /> CITY OF EVERETI' DATE: 7 ���;, � �;- � '�� <br /> ���~-7 ELECTRICAI WIRING PERMIT APFLICATION FEE: p �) L' <br /> >�3 <br /> AJ�1 x <br /> C F"� <br /> 9 H C/� <br /> H j� '09 ADORESS � ' _ " <br /> Hzr <br /> � <br /> K y z rr,avr <br /> 7 H� .'- <br /> y �'r, �OF�TY OWNER ' ;�.�'� l i � �': <br /> � y d ELEC7RICAL CONiRACTOR I )U_,��� ;�� i �, , � � :,� I <br /> oH <br /> � t�r.o LZCENSc N0. i'" � i__: ! E!(F_TFaATION DATE _ <br /> c�• c� <br /> a y� ACMINI57RATCR 1 )�- , I. � . '� ; , ;! _ PHONE N0. � - <br /> r z <br /> g �,� VFLUE OF WCRK (do not include taxe=_) <br /> � d y (for cemmerci> wor�J <br /> � �� USE OF BUILDING ` . '4 -. � <br /> ���� ' �: ( t� ,, [ � i, . �� <br /> z y cn <br /> r3 o cn <br /> t?OT�: 'AAC 296-46-1�0 .eauires ttat plans fo: electrical work at educational, <br /> ±nstituticnal or health care facilities be aGProved by the State oP <br /> '�Vashinaton. Applicants with such jebs nust sh^_w the State-2pproved plans <br /> before a City or Everett pe^�i: wi11 Ce issue�'. <br /> �s, pI 'NCRK TO BE GON�: <br /> � <br /> �1,Ll,�i risv� � r!�� � l., V� � � , I _ i�?� �,.,� r,���„��-�a <br /> ` . . , <br /> E� z,. <br /> I� "I <br /> .�_ ,� <br /> ` 1 — <br /> u � <br /> � SIGNED : �, , __ DFTE � . <br /> 1 <br /> "" MOTES AKD CCMNEPITS: <br /> � <br /> 6!10/87 <br /> 1?�8fi <br />