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�� � DATE � 3 J ' � <br /> CITY OF EVERETT <br /> . ��'�i <br /> ELECTRICAL WIRING PERh1IT APPLICATION FGG � <br /> H O t-. i j > � �� � � _.. <br /> [x*7 a y . .TOB ADDRE55 � ��� �� v L� -- � - k�}�� _ ' <br /> a�zx ' ^ <br /> �y� TENANT i\ll(A� <br /> i <br /> y z H PROPERTY OWNER. �jC r' - 5�C� I ' �z� <br /> � <br /> O 50 ELHCTRICAL CONTSLlCTOR S� . S �I � i� t�. ' - �P � ' <br /> '� �H ���,':' � C7n ,- `u'`� i . �,� � �')�,�,- �/s�� / � �/,':=� `��' <br /> � O 7 CO:ITRAC1bR'S I�DDRESS I /U� � C if.. r_ L <br /> Cl2'Y ZIP <br /> H C7 y� r L L> <br /> �,%h„i �g LICENSE N0. •-'-1- V .� CE Z I<� ( I�f� EHPIRATION DATE �, 5 / � <br /> z y� I�DMINISTRIITOR C� CL � C C1 t`•2CtC�.-- PIIOtiG N0. �- .j U' C y.S I <br /> � H H `JN,UE OF WORK (do not include taxes) <br /> g �� (for commerical work) <br /> 3 [�IC USE OF IIUILDjNG � i b�� ll ' ��-�-�L I��., �� � ' <br /> t�f C�1 ( i <br /> '� �N NGTE: WAC 296-46-140 zequires Chat pians for electrical work at educational, <br /> institutional or health care facilities re approved by the State ot Washington. <br /> ��PPlicants with sudi jobs must show the State approved E:lans before a City <br /> of Everett permit will be i�sucd. <br /> NOT6: l4iring in non dw^11inq:, i:: icquirud to t;c in conduiC. <br /> �� <br /> ! ! hOIiY. 'I�U �1i IX�NG: <br /> � <br /> ��F 1 � J , �r" s�-��' ''' .G-�/�L �� �� ,-� �— � i � �i �_ <br /> �� r. <br /> � A � <br /> '�� <br /> -...� <br /> ��„� � <br /> ��� 1 � � G�iF� '� ���f.�fY��?2�11— ' onTr•.: ��� �C���i <br /> SIGN6D: I R �' LL / <br /> � ��� <br /> �~ � ` <br /> �� <br /> . . 3/27/`30 <br /> : <br />