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,; <br />H�� <br />E•..,, <br />C�i-x+ <br />9Hxy <br />H Z� <br />�C f� <br />� <br />� V1 H <br />H <br />`�O <br />OH� <br />��g <br />H <br />� H� <br />gy <br />��y <br />y� <br />HON <br />CITY OF EVEAETT DnTE U� Z�j- / I <br />ELECTFLICAL WIRING PE{iAfIT APPLICATION F6E %t� � <br />JOB ADDRESS I�`� l�. /f%/�/il�/c-' 1�l,Lk/ D/d . . <br />TENANT ,� �€��r� Pl1NKs � NeC G�Pr, /�vyr�i�<E i,�r� caN�rsk, _ <br />er.oeeaTx OWNEA �V/�f���r I�Aiil�� RGc O�i'% <br />ELECTRZCAL CONTRACTOR L'L�D TLdE�RIC �RL G-aSHaRN - <br />CONTRACTOR'S ADDRESS f•a�.SoX Issf ShIONb/�//SH� /���• �� <br />CI1'Y ZIP <br />LICENSE NO. LEU EL I�ua ��� 6XPI.RT�TION DATE <br />ADMINISTMTOR <br />PI�ONG NO. ?73S' I�?-`l <br />VALUE OF WOAK � D00 (do not include taxes) <br />(for commerical work) <br />USE OF l3UILDING �pRo-sr�oP �r �i��' '��A�� <br />NOTE: WAC 296-46-140 requires thaC plans tor electrical work al• educational, <br />institutional or health care facilities be approved by C�ie Stale of Washington. <br />Applicanls with such jobs musl• show the StaCe approved plans before a City <br />of Everett pecmit will be issued. <br />NOTE: Wiring in nou doiellings is reqoired to be in conduit. <br />WOAK TO BE DONE: <br />�.usr�r. ���rrn,�u- �f ourc�,-S �ti ��i�r sn�i�� t s��E r��k.�oyi��a,�. <br />��"� ltR LILr/��S <br />SIGNCD: l'Gy( � /'+-�� _ DATE: l//� <br />T� <br />