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� . . � ,�.� <br /> � <br /> � � <br /> �� � <br /> ��H <br /> C��H � <br /> >HCn �f <br /> �AT6� <br /> y �� CITY OF EVERETT �(� <br /> FEE �,_. <br /> O� H O� ELECTELICAL HIRING PEMIIT TPPLIC�TION <br /> [A M ^^ . �,r� <br /> �+f p� d00 I�DDHESS I�o`V S I�-JCI� U� 3d� <br /> H <br /> '.Nb �g TLNN7T <br /> G�• C� 5 <br /> �"� PIiOPE!':lY OWNEA O ` � L. <br /> � y� —�,r-�-tc'� — � R1�IPO CG7"S7fG�G C�. <br /> �y yy g� ---,r-�-^�� a.:�. "p'OR � L�7 '�s��� <br /> p ad��4 �� aJe s ` ygz�2 <br /> (] �U� CONTMCTOR'S ADDRE55 �I ry ZIP <br /> � �%PZ23TTION DnTE ��9� <br /> HOCy/� LICENSP, NO. �-�i,[ea�� m�kC <br /> nDMINISTMTOR V/���a�A�� PIIONE t70. �����3u� - <br /> VALUE OF WOAK (do noL include taxes) <br /> (for commerical work/),. <br /> f� �, USE CF BUILDING 1��b�� �������� <br /> w� <br /> NOTE: W7�C 296-46-140 requires that plans for eie�:tcical wock at educationa , <br /> instilut:nnal or health caxe facilities be approved by tlie State of Washington. <br /> � '�'� • Applicants r+:th such jobs must sl�ow tlie State appco�ed plans before a Clty <br /> � � oE Everett permii. vill be i�sued. <br /> '�+ +' NOTEe Wiring in non dwellings is :equired to be in conduit. <br /> �� <br /> W0� TO BE DONE: " • I <br /> ��I i �MPvRAr�Y t�oUU��L' i'o� Cc�atsi�'u(�ionl S,TF <br /> 1' — _ <br /> , _ <br /> ���—� .. <br /> ,. �� �i � /�` . D�TE� _ 9 �9�� <br /> SIGNED: � <br /> I <br /> .....�....�..�...�..�......�rh,.�.��4w.•�,-.. <br />