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..:. ,.:x..�:.. . . .�.�,. ,,., .:. . .... ... .. . .......�_..:. . .. , ..... . . <br /> ��.� ; <br /> ay i <br /> �xx <br /> L, H <br /> 9�N <br /> y y� CITY OF EVERETT � �nT� � �U �,/ <br /> "7 F-i'IJ ELECTRICAL P7IRING PBRMIT APPLICATION hL�J — <br /> �p H <br /> xz� �[ j� TI - <br /> OH l7 JOB ADDRESS I 7�V �JS��t�` ��� '- <br /> �h n 'PEt�ANT • — <br /> 9H� PROPERTY OWNER � ( �J1 ��1 ' <br /> rHH / <br /> ��"' �� ELECTRICAL CON'!'RACTOR �. C �( �C �lC� ��� <br /> H r! „ <br /> � e� 5%/% -9rs� fI�E /�/r E✓�,��« �:� s <br /> r" CONTRACTOR'S ADDRESS � <br /> � �Crs7 . ' <br /> CITY ZIP <br /> y O C�i� ` <br /> LICEPISE N0. ���LCUE1 ������ GXpIpT+TION DATE _ /O � �� <br /> ADIAINISTHF�iOR �,C�Il�O �✓�41�✓n I'I��IJ �F�ot�� No. ��y�s/ h_ <br /> � VALUE OF 470RK ���(�� (do not include taxes) <br /> (for commerical work) <br /> .-„ „e . <br /> �'�`�' USE OF Bl12LDING �� 17/;'7�1° E� — <br /> _ ,� NOTE: IaAC 296-46-140 requires thaC plans for electrical •..crk at educational, <br /> �4 � institutional or health care facilities be ap�r�ved by the 5tate of Washingteti. <br /> �, � <br /> Applicants with �ach jobs must show the Slate approved plans be:ore a City <br /> of Everett perm:t iaill be i�sued. <br /> "" � NOTE: Wiring in non d:aellings is requi.Led to be in conduit. <br /> I WORK TO BE DONE: <br /> �`��-1 it t.u�J X�O-�-�� — <br /> � —� <br /> �.. <br /> �e>�I <br /> � � /. �„> DATE: I�� � ��� <br /> �_ SZGNED: .����i � L�.� C.l G.:���,1-- � � . _ --- <br /> � _ ___ __ _ _ _ <br /> � <br />