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5 C '7 <br />.7 �, <br />9H <br />A�w <br />C H <br />9 �3 [� <br />rx <br />y �3 <br />�-c n <br />H �1 <br />� H '�s] <br />(A H <br />C+1 O � <br />H t7 <br />��g <br />c� � � <br />�H� <br />H �3 <br />g�' <br />N <br />C� c7 N <br />��tr+7 <br />zHVr <br />H O fn <br />tsc`' r <br />�.,, � <br />CITY OF EVEAETT �_�y <br />ELECTRICAL WIRING PERt�tIT APPLICATION <br />JOB P�DRESS <br />TEC]ANT <br />PROPERTY OW[�ER <br />� � <br />M�,� DATE_� <br />FEE /� ,��t� <br />_'��ri ,Li�,;�/i:, -l_�_, � �?ii:�t- �c�—.���� <br />ELECTRI(:AL CONTRACTOR ,GLN �-L) I� Y-iV L' <br />CONTRACTQR'S ADDRE55 <br />l/ <br />� -- — - " . 1 CITY ZZP <br />LICENSE NO. ��,( l�� IO� :� IO I V� EXP2RATZON DATE �r I�� /�' <br />AD6IIt1ISTRATOR .�iGffi %JC�—<.`)%� . PFiONE I70. �j'���" IZ�`�J _ � � <br />VALf1E OF WORK �I� r% S � C� (do not include taxes) <br />(for conmerical work) <br />USE OF BUILDING ���t7 T�A)T� A"L �"��ELL( I�-�L;� _ <br />PlOTE: WAC 296-46-140 requires that plans for electzical worY. at educational, <br />institutional or health care facilities 6e anproved by tha State of 47ashington.. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett permit will 6e issued. � <br />I7�TE: Wiring in non d•.:clli�ys i:; i^_?uired to �c in conduit. <br />WORK TO HE DONE: <br />:J <br />R � <br />,,G � <br />, `� <br />� sic�iso: l�'!���':,�,.�,�� ;�' �!j �;��'+, � onme: � ��- i'O _ <br />�....-.� . - -�..,�4:;I,�/ ���-o'"iJ <br />1"�' '�j <br />�� <br />3/27/30 <br />