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y M <br /> � ro <br /> q C <br /> � H y <br /> K � n <br /> H A <br /> bM �Y <br /> y M <br /> Q S � , <br /> � � D7�TE � . •_1�l ���. <br /> � t�E � CITY OP EVERETT <br /> c7 • <br /> ri y � F.. b` �.. � �C� <br /> y ELECTRICAL 41IRING PERMIT APPLICATION <br /> H �3 <br /> N <br /> H � <br /> � r Jot� rwat�ss 7J ) r.: ,` � ", r ; ffv',�- <br /> � � y TCNnt�: .:-i4 ,�,�� > j)r�/1/Pf,� . �-ri �/% - <br /> PkOPERTY OWNER VI}UL � �J/l�i ID �<<�'��� ''� --- <br /> ELG�TRZC)+L CONTfiACTOR L�//'d�:�i��G� 'C/`� " �/`,/� � <br /> CONTF2ACTOR'S ADDPE55 ,� .SC.�'�t IS'I ✓T .S / 1'I /7/ L-1 Cn. �.'I-�. _ <br /> CITY ZIP <br /> L7CENSE 170. �' �'l� ( � I'� I� � �'« .J r� ��- EXPTR7�TIOtJ DATE �I I � ��l C� -� <br /> �f\ r <br /> ADIIINISTRATOR �`�.I..c,,�- \,�'�t�^•';-+ �E'�' � PIIOi�G N0. �`-� �� �� <br /> ���� VnLU6 OP WORK (v � /-�. (do not include taxes) <br /> (for commerical work) <br /> iUSE OF IIVILDING ��C �� P '�� �� ��� � '�� " �� <br /> � <br /> �,r 140TE: WAC 296-46-140 requires that plans for electrical �aork at eclucational, <br /> institutional or health caze facilities be approved by the State of Washington. <br /> • Applicants with such jobs must show the State approved plans before a City � <br /> �� of Everett permit will be issued. <br /> I 1� <br /> N�'cE: Wiring in non dwellings is required to be in conduit. <br /> I 1 1 WORK TO BE DONE: � . � <br /> � ///1 <br /> / / J �(�v� / �'/7 7 ?�Q� �d �i,i�''" ' ' _ <br /> l�•b v <br /> d '~,�1 ( ��-Tn i' .��. i - __ _ � �. � ✓- <br /> w <br /> �'�� ` <br /> ���1 <br /> DATE: <br /> SIGNED: <br /> ...._ . _,. , _ . . . . . �. �.e� � . <br /> . .�- :.�.:..,.. �-..n.c_ nn^. ....,... , . ,...-nrcn,�r�a.....,. .. . i...:� '__ ....�. . ..,.•„±n � - . � .. . -�. . <br />