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0 <br />� <br />CITY OF EVERET: <br />�� � �—� <br />ELECTRIGL WIa7ING PERMIT AF?LICaTION F� 3yQ�. <br />JOH ADDRESS �0,7Q •Roin��r AUP <br />1�NAt1T ' <br />PROPEATY OWNER �io� N C� r✓ <br />�TrCTRICAL CONTRACTOR Se�-G' <br />CONTRACSOA'S AODRESS �UaB IZ�ini�v� I�-�J.4 Lil2✓Gi'i'� �AJ A 9Ao2Q/ <br />ZIP <br />LICENSE N0. ".g7@TRATION DATE <br />11DHSNISTRATOR -- . . PHONE NO • . � ,S z - S"L_ G . i • <br />VALOE OF WORK ' (do not include tasns) <br />(foz commerical work) <br />OSE OF BQILDING LS �.M.I. /� . � <br />NOTE: <br />. .. .- - i r -, - <br />WAC 296-46-140 requires that plans for elactrieai orork at edneatianal, <br />institutianai or health care facilities he anproved by the State of Washinqton. <br />Acplfeaats rrith sueh jobs must show the State approved plans before a City <br />af Everett peani,t will be issuad. • <br />NOT=: Wirinq in non dtrellinqs is rewired to he in condui.t. <br />iIORtC TO BE DONE: <br />SI6iED: / <br />� l � DATE: 7•r��-JU <br />�a�z�ieo <br />