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� � � <br /> ro <br /> b � <br /> Cy M <br /> t H N <br /> M � S <br /> K n <br /> H 7� <br /> O C O i <br /> '9 �+ ^C <br /> �] y M <br /> C = <br /> ttl <br /> o � � � %'��'`` l � `' .' <br /> N tna � .�i �ATE � i L- <br /> ,.,,� CITY OF EVERETT - � <br /> � � 1�' .J�_C;tJ <br /> FEE �) ) — <br /> y ELECTRICAL WIRING PERMIT APPLICATION <br /> M - <br /> � M � <br /> � N <br /> � r :� JOB nnDt�SS � S Z . L <u �� � `; - <br /> y r� ;,, <br /> y p vi � TENANT - . <br /> - PROPEATY C`•+'[�ER .. r ' � '� � � <br /> ELECTRICAL CONTRACTOR - IL�C � <br /> CONTRACTOR'S ADDAESS �' // /�'t�� � '�/` ��C�/r'C/�'���1 ��':;�� i�: - <br /> � CZTY ZIP <br /> � <br /> -.� LZCENSE N0. /,%/�/ C s /! '�Y � �" ' EXPZRATION DATE � '� �Z_— <br /> 1` <br /> ADMINISTRATOR � l ��,��{ PHONE NO- / / +� �- ` ��/" � <br /> � /j/' i i /' .�i hl.� <br /> � <br /> � 'v (do not include taxes) <br /> i�-'., ';a VALUE OF WORK <br /> = ' (for commerical wozk) <br /> I �; USE OF HUILDING S -- � <br /> � Aq <br /> � �� ' <br /> _A '„ NOTE: taAC 296-46-140 requires that plans for elactrical work at educationa , <br /> . � . institutional or health caze facilities be approved by the State of Washington. <br /> � � Applicants with suc!i jobs must show the Statr. approved plans 6eiore a City <br /> of Everett per.n:t wi11 he issued. <br /> � �� - <br /> , HOTE: Wiring in non dWellings is sequired to be in conduit. <br /> �� WORK TO BE DONE: <br /> �= <br /> _ �� � /�r� A� A c rF�<' -.if!'�- � � F <br /> � ' �1' � � ' i _ � ' <br /> �� � ) -/ J .f / � c'�iC� � <br /> p T � <br /> II : <br /> I ' t • '� <br /> I\ <br /> 7 � <br /> � �i <br /> � DATE: /_�f�Z <br /> SIGtIED: wL <br /> / <br /> LI 7 <br /> ,'���i� � <br />