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��y� <br />�O�lx <br />> Hx tn <br />H Z� <br />K' C) <br />y5� <br />� H ^�U <br />V7 H <br />Hx <br />t�] O <br />HG <br />ON <br />Hr1�8 <br />y� V � <br />t-� y � <br />HH <br />y <br />gdy <br />��� <br />H O fyil <br />�. CITY OF EVERETT ,._�� <br />ELECTRICAL WIAING ?ERMIT aPPLICATION <br />� DATE �/Z�J��� <br />, —!lo <br />FEE ��J '� <br />JOB ADDRESS �� i,�r,�'r� �' r� rl dC' <br />TENANT �� <br />PAOPEATY 047NER ✓/NU� 'd �./ C!/ / � r"fi /;'r"�=- <br />EL'nCTRICAL CONTRACTOR f� <o� �✓ P�C <br />CONTRACTOR'S ADDRE55 3y// l�l� �i�' �t'�•'�" /7Ur l �Y��`� �' :' ;���1 ` � � <br />' CITY ZI? <br />LICENSE :10. �:�T_AATION DATE' <br />e1DMINIST?iATOR ?SC.IE N0. .��� Z 7 `�D <br />VALUE OF WORK (do �ot include ta:<esJ <br />(for commerical •,uork) <br />� <br />USE OF BUILDING �� � / r'. r � ..�Y' .sj N (r �Y � � �'7 i /[.� <br />:IOTE: 4iAC 296-d6-140 _ecuires t:�at nlans cor elec_rical �ork at edreational, <br />iastitutional or hea'_th caze 'aci'_i� �s �e acoroved by the State of :�tash:ncton. <br />�nolicants •.+ith sucS jobs aust show the Sta.e aporoved plans be:ore a Ct.� <br />uf cveret: ❑e^�it ai11 �e issued. <br />�7G?=: ;dir_na :.. aon cueLl'_n�s '_s :ecui_ed to be :a :ondu:t. <br />' WO?2}; TC cc �CNE: <br />; ,_ M ��-ve.. .� I �� s <br />A�'�! i h� ��erz d i�E�l�dSri�� _ <br />� /� �� i' �-i r��e�- c ia c�.��� <br />) 7 <br />SIGNED: i�//�i� I%E%�)�!�r�-c <br />3/27/90 <br />D�TE: <br />