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� <br />� � <br />H <br />9Hf~i� <br />H�� <br />FC c! <br />H 70 <br />��� <br />Hy <br />io <br />OHd <br />��g <br />�� � <br />C"y� <br />HH <br />g�H <br />(] l7 V1 <br />[i� <br />HOti <br />� <br />CITY OF EVERETT <br />ELECTRICAL MIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENFlNT <br />DATE: �D"��-8�I <br />/ .i/9Sff�/ � �f� � - <br />/ler a c <br />FEE: <br />PROPERTY OWPER cIEJ Wl,�% <br />ELECTRICAL COMRACTOR � �� E����C . `�i%�' <br />ELEC. CONTRACTOR'S MAILING ADDRESS �Cl' C/fc�r,:liU�l �3Fah �U�ir.Gi <br />LICENSE N0. ������3�`� EXPIRATION DATE �1%C! <br />ADMINISTRATCR �'F �X��'1 PHONE N0. %'�S - ->>�'`3� <br />VALUE OF WORK (do not include taxes) <br />(for comrtiercia work <br />-> <br />USE OF BUI�DING rC�S <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DOt�E: <br />�—'—� <br />�r:��Guc C C'��-'��E� ,�—��'� <br />��� ����2 <br />SIGNED : �i>��2� � DATE I � � /� � u / <br />NOTES AND COhMENTS: <br />_ _•- �� �},��+ry�f <br />����� . . _ . • ��iC. _�ff�•,,, <br />