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��h° <br />A�x <br />9H� <br />i <br />k�n <br />oxo <br />41 H '�tl <br />!n H <br />�O� <br />OH <br />�/��g <br />y� V � <br />zH�yH <br />rHH <br />gN <br />H <br />� Cq3 U� <br />C9 � <br />HOC�/� <br />� _r <br />1 <br />I �� <br />�� <br />I = <br />(� 1, <br />CITY OF 6VERETT `� t�}� v/ <br />ELGCTRICAL WIRING PCR!•fI'P APPLICATION <br />Joa r,�oa�ss h 5�1 ) 2uC rr-�^ ' Ll r1— <br />DATE�2 � -4/ <br />k/ <br />FEE 4J <br />TENANT � ` <br />PROPEATY OWNER � I= L V � N C�� S�'� �� C T I c12� <br />ELECfR2CAI. CONTRACTOR p� LL �L 4(� �,C �� <br />}�� r}� o b a 3 <br />CONTRACTOR'S ADDRE55 ' CITY ZIp <br />LICENSS NO. �- � T�L C LL-�! y�� <br />ADHINISTRATOR � n R,�,� �' � � ��Q S �=� <br />E%PTRATION DATE �� I O -��( - J�L� <br />PIIONE N0. �-�_ b _ ?��� � - <br />VALUE OP WORK (3o not include taxes) <br />(for commerical work) <br />USE OF BUILDIt]G �'` c °•-�" `' '� � _— <br />NOTE: WAC 296-4G-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of c4ashiugton. <br />Applicants with such joUs must show the State approved plans before a City <br />of Everett permit will Ue issued. <br />NGTE: Wiring in non dwellings is reqaired te be in conduit. <br />WORK TO BE DONE: <br />R� _ ��5= - - _- <br />SIGNED: V\\ 1�1 ����// `�� DATE: �^���• <br />3/27/90 <br />