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� ; �J <br /> CITY OF EVEREfT DATE: ,j/� �/ �� U <br /> ELECTRICAL WIRING PERMIT AFPLICATION �t� �S � <br /> �t�"�iJ <br /> ��y • ' <br /> q�H �G9 A�ORE55 /�� � � �� ��/ �'_ �j /� <br /> aycn <br /> rr-+ a a TE�ANT .`�C�' � �OS,73" <br /> y zH <br /> o =o �oP�rY own� < <E, T /�5�� <br /> '�y H'z] / <br /> y z� ELECiRICAL CONTt�ACTOR OTl/ /d `' ' irl �i/�'� <br /> � yd I.ICENSc N0. N�rTT< L /C• 6/v1 7' E:tPLRATiGN DATc <br /> � �g ,j � ^ FHCNE N0. 3Co .',O/O CJ <br /> ACMINIS nATCR G�c� i c� C) �v �� <br /> a �~-3� VF,LUE OF WCRK J �do not include taxes) <br /> r H y (for commercia worK1 <br /> gti <br /> o� us� aF euz�oTUc / �_ � �� s i ' � � � <br /> �r <br /> � <br /> y o w NOTc: WAC 296-4E-140 recuir=_s that plans for e'_ect:ical work at eCucaticnal, <br /> instituticnal or health care facilit±es be apprcved by the State of <br /> Washirgton. Applicants with scch jcbs must shcw the State-scoroved plans <br /> before a City of Everett pe�it �vi11 Ce issued. <br /> WORK TO BE DONE: <br /> '� � i <br /> "'�.' (> i)o.�/CTG 4 ('/ �V �c. r / r /.: fJr .�l /�/ ilt.`il�P <br /> _/ <br /> '! � <br /> �.. y <br /> �` � ' <br /> ��1 • <br /> !'w <br /> /� /� <br /> (�I I SZGNED : �-�,GC�� � � DA i c 7 �� �Y;'� �' �7 <br /> � �l� <br /> NOTES A�'0 CC'�ME1T5: <br /> �II <br /> 6/10/87 <br /> 192EH <br /> ,' <br />