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� � _i � - <br /> w,. ��•-� � <br /> ; �� - - , � <br /> �r.�;: , . <br /> � <br /> o-3i , - .� . ' � <br /> . . . .�' i ' . I <br /> .� � �r � Syi-. t ' i <br /> ..., . �j Y�Y`�.t� � `k� ,��=�� � �-t�.� .-�c� � r, <br /> qa�. `!' S 2,"�...,M. �..i. ��� . . . p 'Y�-��•}w'.•.. <br /> . ..- � . 1 . � � <br /> ��a �, ,, <br /> � <br /> �� � <br /> o�� . I <br /> � /� <br /> . �� CITY OF EVERETT GATE �"�s'lI I <br /> �� ELECTRICAL WIRZNG PERMIT APPLICATION FEE �d2 I �'�- <br /> O <br /> �, Joa r,Doasss �N /tit=j�nao /liz 'L.sr�� ti/i) � dn/—/��,-�7 <br /> � TENANT .�i�l�t�I �r:�i»I/I/L�Y t�/���,Yv-. <br /> O� / J V ,Y / �. `� - <br /> .. .......�.... <br /> PROPERTY OWNER GGifSI//Jtvl'!� �ti�/Y ��'Y�in-C� fidM%ilh;i�tc�%!�f: <br /> / . n <br /> ELECTAICAL CONTRACT�R �1����5 G=1Pi yj�e- Ca'/i�/Y.'�y - <br /> CONTRACTOR'S ADDRESS I�L�C•-A� tl��1 -I�.t7 /V �!//�-��-7- �ltc�J�-. yL��.��� _ <br /> CITY ZIP <br /> � LICENSE N0. �J��)R.�'����� EIfPTRATION DATE /c:�a��-�9'�- <br /> ��" ',� i.DMINISTR7�TOR /���jl� ��II/�i�:�CfIG•/IC�I\7} PHONE NO. �].�--'-�� •� I <br /> C� y <br /> J VALUE OF WORK y Li �jiGCC' �S (do not include taxes) <br /> i <br /> � (for commerical workl . <br /> _ ��t' • USE OF EUILDING (.L''��ls71 _ ��Gi7%C� ��� L�1�7 �'�"� /�L���r �� I . <br /> � � � <br /> NOTE: WAC 296-46-14U reguires that plans for eLectrical work at educational, <br /> � • institutional or healt!i care facilities be approved by the State of Washington. <br /> ,I ._� Applicants with such jobs must show the State approved plans be£ore a City <br /> L�� of Everett perm:t will be issued. <br /> , NOTE: Wiring in non dwellings is reqi�ired to be in conduit. <br /> I `I <br /> WORK TO BE DONE: <br /> -L� 1/�C C.A� ��i��C��/(C1� !'� PiY/�/!>�'J 7yS/�-'!/' <br /> ' f t � j� /, , ,� <br /> � .-�. �?2GI.�_ !LU � � � 2+-if� �fC�'✓ �'/�1n�tL7 C'F,lt i!/� ���/(�1�7 <br /> i� rtl" / <br /> LI� �r:.� /��1 t-���-� • , � �> i > �' .�,-, . <br /> �> / ��� ��t DATE: �C`-� —�%I i <br /> SIGNED: �,�y�:,�"L � � � t'� <br /> � , <br />