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��� <br />aH <br />��H <br />9HV� <br />rx> <br />H 2� <br />fC C� <br />H xl <br />O �O <br />� VJ H <br />H t" <br />�z <br />H t7 <br />��g <br />�Y � <br />ati� <br />r x <br />HH <br />g`� <br />H <br />C] C7 f� <br />��� <br />H O ty/� <br />.�•�� �� <br />��,,�;� <br />CITY OF RVERETT <br />ELECT[2ICAL WIRSNG PEFUfIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNLR <br />� // �j <br />D1�TE /,�-7 - // <br />«E 3C%- `n' <br />��_I� �1� I CL!?C��l A-� _ -/ o � v <br />�'.LL�r . Et �'Crd Pi'7 CdV'� ��c2.� <br />EL6CTRICAI. COIlTR71CTOR � `�ii�i J �C �? <br />CONTRACTOR'S ADDRE55 � 7 / � " ' " - ' <br />CITY ZIp <br />LICEt7SG N0. '�d"'I�r/�K==��`'`-�'i':f�� •�'�c"^'-''�'GtiPZRl�TION OATE �?'-�7I '/ � _ <br />ADMINISTRIITOR ��j11'n ��7�� I �o L� PHONG N0. ��/ `�-� ���� _ <br />VN.UG OF WORY. �!>L���Lv (do not includc taxes) <br />(fcr commerical a•ork) <br />USE OF BUILDING t�e ��I (.ft�n�'�i _ <br />'.. �, •NOTG: WAC 296-4G-140 requires that plans for electrical work at educitional, <br />,�,� � institutional or health care facilitir.s be approved by the State oC WashingLon. <br />npplic�ants with such jobs muGt ,how the State approved pl�ns before a City <br />of Everett perm:t will be issue:l. <br />'�'^ A <br />'� 1 <br />� � <br />,�i <br />i t�� <br />NOTE: Wiring in non dwellings is reyuired to Ue in conduit. <br />hOFtK TO BE DONF.: <br />� <br />7�fi�u�sia� �,'lar-m — <br />SIGNED: � � �7 /%�l/%C-l. /•J-[; �-, i-r2fnt� i�n�re: <br />0 <br />