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r.�. . <br /> , }, <br /> ,--- <br /> CITY OF EVEAETT D11TE_�j�__��/ <br /> i <br /> ELECTRICAL WIAING PERMIT 11PPLICl1TION FEE �� <br /> JOH ADDRESS �� '� U ��1 \ � � . <br /> TEN]�NT <br /> PIiOPERTY OWNER ���` 'b aLJ �) �, 1 <br /> ELECTRIC7�L CONTRl1CfOR J�! � // / <br /> CONTRACTOR'S ADDRESS � ��� �/�/ ' ( S �GIf/ �U " 7'�zOI - � <br /> CITY ZIP <br /> LICENSE NO. EXPTRIITION DnTR � . <br /> ADMINISTRI�TOR P�lONE N0. ��Z ' -( � O y <br /> VALUE OF WORK (do not include taxea) <br /> (for commerical �rork),. <br /> U56 OF BUILbINC <br /> NOTEs WAC 296-46-140 requires that plans for electrica_ work at educational, <br /> . inetitutional or health care facilities be approved by the 5tare of Waahingtioh. <br /> Tpplicanta with such jobe must show Ehe State appzoved plans before a City <br /> of 6verett permit eill be issued. i <br /> NOTE� Wiring in non dwallings is requited to be in conduit. <br /> HOA1C TO 8E DONEt <br /> c tG �D��,�� P <br /> / ;� <br /> r <br /> SICNED� b11TEi � � � <br /> •:�^S•:.l::II�R.VliV"�\v.r,��LT..74�1J}N:.:R�^f.'C'fS"?!:'J'.M1fl7�3V'CL7�25i:l71�1Y^11�35'�^Yr''�i.'.171�'�T�tR�r''�:':l��r.'�7�:�•�'�•:..:RY�i`iiiL�.'i��rt���it1�M'.��56�ii�i.."tDJ.��i j <br />