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;- <br />v <br />; <br />CITY OF EVERETT ,' O�TB �� as 9� <br />EI,ECTRICAL NIRING PEPMIT 1�PPLICATION �BB�. <br />aoa ,�nnasss 8aao XRVIeR W�� . <br />'� TEN7INT F%LLy L, � S�e� I� �L�e <br />PIVDPSRTY OWNER �M e- <br />BLBCTRICN.00NTMCfOR OWIIelL-- <br />I _ <br />CpNTMCTOR'B ADDRESS <br />LICEN86 NO. <br />EXPSItJ1TION D�TE ' <br />ADNINISTRI�TOR PIIONE NO. 355- 5 8 0 8 <br />VALU6 OF 110RK "'M /600 .�O (do not include taxee) <br />(for co�mbrical workl.. <br />� .I . <br />USB OF BUILDING <br />8I4 <br />NOTBt NAC 296-46•140 zequirea thet plane for electrical work et educetional, <br />• inetitutional or health care faciliEiee be approved by the 6tata of Mashihqlon. <br />Applicante with such jobs must eliow tha StatR appcoved plane before a Citiy <br />oE Bvaratt pecmit will bc iasued. <br />NOTB� Nlring in non dwellinge ie requlzed to ba in conduit. <br />i1pRlC TO BE DONEe . <br />SICNED t ,XJ/�0 LPLJ `^� • "' -""" DATE i � � �S 7 � <br />_._._. ._..._...r..�...�.�..��rl l ����R�nr�...�...�\Mw�.ri�IT�MM���i'. <br />