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-� � . <br />�: ., <br /> T. ; <br /> ;- <br /> I <br /> � CITY OF EVERETT DATE Q - � ' �l - '•�'1. <br /> ! �, <br /> � <br /> ' ELECTRICAL WIRING PERMIT APPLICATION FEE �..3J �~�M1 <br /> _R <br /> . : � <br /> soe anut�ss �G !o /��s< Uiq�vt � °- <br /> TENANT /'C�/J�/Nc' Srf�i�GE%O'� �. <br /> PROPERTY OWNER �/��'Gf� <br /> iELECTRICAL CONTRACTOR /'f L.t,eQN 5 �LmGi. �. <br /> �' CONTRACTOR'S ADDRESS C�O/�� �O vit/✓l /�T'✓� G(/GiCc iT -�1pi� .3 ' <br />� ' CITY ZIP li <br /> 1 LICENSE N0. /`f��NC��%7�� EXPZ7HTION DATE ' � y� z- <br /> iADMZNISTRATOR �oN L"Cc:�?wR^'d�n- PHONE NO. � S � � 7 7� <br /> VALUE OF WORK p S� �� (do not include taxes) <br /> (for commerical work) <br /> ' USE OF BUZLDING S��''r G� /��9!'u/by f�� S_ � <br /> NOTE: WAC 236-46-140 requires that plans for electrical work at educational, <br /> �� • institutional or health care facilities be approved by the State of Washington. <br /> Applicants with such jobs mnst show the State approved plans before a City <br /> of Everett permit will be issued. <br /> � NOTE: Wirinq in non dwellinqs is required to be in conduit. <br /> i,` <br />, WORK TO HE DONE: <br /> 1J✓I �j�<<f.t9� 5�� U!c c �SE.QUC�E C'ff�4'u3c/ <br /> �i��t /Gz� s9.Z.r° ld l�S� ��r� <br /> SIGNED: O? � DATE• o - / � �� <br />