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i <br />;; <br />3 <br />�C9h� <br />O�lx <br />�Hy <br />K�n <br />H 7d <br />� V7H <br />�O� <br />OH <br />�/��g <br />^.Y [] <br />t�y� <br />HH <br />g �' <br />C]CN <br />��� <br />7S H U� <br />HOW <br />�. <br />( <br />I _� <br />1— <br />` � <br />I �� <br />CITY OF EVERETT , <br />ELECTAICAI. WZRING PERMIT APPLIC.ITION <br />.708 ADDRESS <br />TENANT <br />� <br />>�Ir',.� �",.u5 T� <br />0 <br />PROPERTY OWNER 7: ��� n I/.r��.-s (��.�'i . <br />ELECTRICAL CONTRACTOR / . , l-,. c n.� �J �,. 1- � �; �_ <br />DATE 9- •/- <br />FEE J: � <br />CONTRAC1bR'S AODRESS �( 7� .>j�a.; iP. A-'t, 5,r,1� t N1A1..5�.�1. `7k'L'7c <br />CITY ZIP <br />LICENSE NO. L,,� � :.....� :3�q C.� <br />�OMINISTRATOA yy�„�, � � L„SA f <br />VALUE OF WORK <br />(for commerical work) <br />USE OF BUILDING <br />E:{PIRATION DATE <br />2HONE NO. i. �.Y - D t ti 2 <br />(do net include taxes) <br />NOTE: WAC 296-4fi-140 requires that olans for electrical caork at educational, <br />• institutional or health care facilities be approved by the State of Washington. <br />Applicants with �uch jobs must show the State approved plans hefore a City <br />of Everett pex-ut will be issued. <br />NOTE: I4iring in non d>rellings is required to be in conduit. <br />WORK TO BE DONE: <br />-I ���1e� i.� i.j I..r.J iC.�S �.i 1�. hJ- ..� f, '?.. -, i�v�C _ 4�r�.. [r . <br />SIGNED: /�. ,S" • / DATE: �` `/- '// <br />