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�. <br />CITY OF EVERETT <br />ELECTItICN. NIRING YEAMIT APPLICIITION <br />JOB AbDRE58 <br />TEN11tiT <br />PIIOPEHTY OWNER 1"• I/� • D <br />DATE /l-zo=9i <br />FEE J � <br />ELECfRICN. CONTMCfOR L/�I��� 11UC <br />CONTMCTOR' S ADDRESS ��.. �t9X 231 G.�OL�D!/V�lCLE '�18d7 Z _ <br />LLCENSE NO. <br />Ab��INISTRATOR <br />�J' ti+�►'E1����D�� EXPTIVITION bnTE � <br />PtlONE N0. �p�-� �p�DO ' <br />VN.UE OF NOHlC (do not include taxea) <br />(for commerical work).. <br />U56 OF BUILDINC �I E LD D�F� cE <br />NOTE: NAC 296-46-140 requires that plans tor el�satrical wotk at educational, <br />• inntiEutional or healtl� caYe facilitiee },e approved by tlie State oE Xaehlhgton. <br />Applicente Nith euch joba must sliow the State approved plans before a City <br />of Everett pecmit will be issued. <br />NOTE� Nirinq in non dwellings ia tequired to be in conduit. <br />NORK 1'O 0E bONEt � <br />I Em� �ewE� �o� — /2,� A <br />SIGNEDe <br />UATE� �r - �v-� � <br />n..�.�1 ������.elTr,.��w�/l�a�wM!1�7t��TYM��F�1Y <br />