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� <br />� ty�1 � <br />0�7x <br />Y Hx V� <br />y xH <br />� H 7nJ <br />� t�-I'� <br />NM <br />[�1 O � <br />OH <br />��g <br />,n V CJ <br />t" y � <br />HH <br />gy <br />p C� f�N <br />[i� <br />H O cNn <br />( <br />� � <br />� a <br />CITY OF EVERETT <br />� <br />CAT`_'� �xl -°l D <br />ELECTRIGL WIRING PE?2MIT AppLICaTION FEE� <br />JOB ADDRESS �� � C �r ✓l�v� r L�/t L. V e <br />c7f I�c <br />m�xu�rr G�<. �� �, � ,;:� [.� � � ,�, . <br />PROPERTY OWNIIt S� r-t <br />ELECTRICAL CONTRACTOR � �.- <br />L r <br />CONTRACTOR'S ADDAESS S•z /r(,,,,r4 <br />. . �� • CITY ZIP <br />LICENSE N0. <br />����EXPSRATION DATE <br />ADMINISTRATOR .. PHONE NO. .3 S- S' G yS � '' <br />VALUE OF WORK ' SO O"— (do not include taxes) <br />(for co�erical work) <br />USE OF PUILDING 6 r, <br />NOTE: WAC 296-�16-140 requires that plans for electrical work at edueational, <br />institutional or health eaze facilities be aonroved by the State of Washington. <br />Applicaats with such jobs must show the State approved clans beiore a City <br />of Everett pexmit will be issued. • <br />NOTE: Wiring in non dwellings is reauired to be in conduit. <br />WOAK TO BE DONE: <br />'� „�, . .�.✓Sr/� / � L /cc rA �c �'�. n. rca �" v c n i= /--�' ,;-�c <br />� — - <br />Tr-':�.t��. /7..tTev_ ,R/lt-� <br />/Q�/ r <br />SIG:IED: /�d-`-'c-�',C � �1Jn-�-CC_ <br />- �� <br />3/27/40 <br />DATE: c., ' �-5 - `� o <br />wsr � <br />5 <br />