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� <br />a <br />[�1 C+7 � <br />�y <br />>Hq� <br />��� <br />� y'� <br />�O�H <br />��g <br />(�]Y �] <br />z>y� <br />rHH <br />N <br />N <br />n�y <br />� � <br />a <br />Zy ti <br />H O cn <br />� � <br />� � <br />Y.-. <br />CITY OF EVERETT D�TE l— � 7�� � <br />ELECTRICI�L WIRING P6RMIT nPPLICRTION FEE �� <br />.70B )1UDRE55 Z�C! Z� LJ f a. �n �1 <br />TGN7INT <br />a <br />PttOPERTY OWNGR S�-��-+�.�, L L.CJ 1 fJ [CG� <br />ELECTAICAL CONTR7ICTOR �— <br />CONTMCTOR' S nDDFiE55 <br />..__.. orn <br />LICENSE NO. <br />GXPTIV�TION DAT6 � <br />ADMINISTMTOR PtlONE N0. C� �/' ..�� -'' `� S <br />VN.UE OF WORK (do not include taxes) <br />(for commerical wozk) <br />USE OF DUILDING � n T�1 *� M`Tk— <br />NOTE� HAC 296-46-140 zequires that plans for electrical wock at educational, <br />institiutional or health care facilities be approved by tlie State oE Washington. <br />Tpplicante With such jobe must sl�ow tl�e Stale appzoved plans befoce a CiEy <br />of Everett permit Nill be issued. <br />NOTE� Wiring in hon dwellings is requised to be in conduit. <br />WO(tl( TO BE WNEt <br />,� . <br />�Z Y...-..'..�. �D ��t Ckw.� rZ.��0..�� w� � Q'J ���-�+p <br />i''�� �..�,� a l s� ��e� ��e�.,: "z �.,� --,0 1� rQ-.� o� ���-s _ <br />� <br />SIGNEDa <br />�� � ` nnme, `� `� 7_-� 1 <br />,�............�� e.�.n.+.. nn..-..+�.. ..-���.�,...n�...s�.+,e.m�vn�n��,�.,;.-�mnv..:-^'rtnlm...��9-+.�:�:Yt:.�y.....,,9_^'i.':4'�pfll.`:1�:�~L.'YIE$1°P:1'.�'�,�1"'. <br />