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�Y �� <br /> CITY OF F.VERETT DATE�/ <br /> ELECTRICAL WIRING PERI•SIT APPLICATION FEE <br /> v�!Q <br /> .' .� <br /> Joe iw�xess _ ���;� J �',C� .c ��< 'S:�;' GU�f' ���Q 3 <br /> �- ��J i �� � <br /> TENANT CU/�j� ��� /��DL%/l/� /�- �J/�li�( � <br /> PROPERTY OWNER ,�;%� <br /> ELECTRICAL CONTRACTOR '�fliL�/ �CL � C,� � � <br /> � , <br /> CONTRACTOR'S ADDRESS �� ��� lj����,"'���j' ���� ����f j G �%J fD.,�O� <br /> 0 <br /> LICENSE N0. ��,.������ � ����� EXPTRnTION DATEY � � O '�7�J <br /> ADMILIISTRATOR � ,' �. .. ✓���£�� pHONE NO. _ �S� 3(oSS� <br /> � � � i� �; <br /> V11L.UE OF WORK ' � (do not include taxes) �� <br /> (for commerical work) <br /> � i <br /> USE OF BUILDING .I�l��cr��i/r��, �� ����j%f;S ��(�i �' - <br /> PIOTE: 47AC 296-46-190 requires that plans for electrical work at educational, <br /> • institutional or health care facilities be approved by the State of Washinyton. <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> i , � �y�, <br /> //�5�'�'� ,uL L/L`L/�C� �' i�C�'`�X' //C/TX%Y -� �- „�. <br /> �J � .__l�--- `—���- i <br /> �lG�%�TLY�� C�l'l S�✓!� �i�'� J,��liL�.�l`-� .�Y'S/.�i�i�-�!!'L✓ 1�i1- ��"ilf� � <br /> l <br /> � j- • - <br /> / , <br /> I <br /> SIG ED: ^ � / � /" GY' �/'�/�%r /i . (� <br /> DATE: / ' �j`. `% � <br />� � � i3 ��9 <br /> .. __. . ...._.. . . .,.�_ ....___._..�..,.�,_.�.__..m..,.�.a.. <br />� .ram.v+.-.-n=ow.�.....�.... . ........_..._.. .._".. ._.._ _.. <br />