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<br />i CITY OF EVERETT
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<br />Ei,ECTEtIC11L F7IAING PEAMIT APYLICflTION
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<br />DATE ! i ! �-- �� �.. i!. ti ��..� I � i �
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<br />FEE .T � J ' ",+.'.. ��� : i.
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<br />JOS TDDFlE55 � �7 6O l � ! � ' ' �. ' � �
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<br />TENIINT � U�� � /��f'��- , ,��� ' .
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<br />PROPERTY OWNER ���1� , �
<br />ELECTRICIIL CONTA71CfOR �/L. G/�Ql 9 G' c�.-Gl /c'c �
<br />CONTRACTOR'S ADDRE55
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<br />LICENSB NO. /1«/.�NE/(/4 7P,i 3
<br />�DMINISTRATOA `i�%'N �/`��9�'D�i'�
<br />VN.UE OF WO[tK �5�.��
<br />(Eor commerical work).
<br />USE OF BUILDING _ �_ L
<br />GXP7:NITION DATE ' _ 1�7�� � ;
<br />PIIONG N0. ^��7 S / 7%a , .
<br />(do not include taxea)
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<br />NOTE: WnC 296-46-1A0 zequizes that plans for electrical work at educational� ;. '�„
<br />• institiutional or health care facilities ba approved by tlie State oF Washington.',, ��'
<br />npplicanEs with such joba must show the 5rate approvec7 plans before a City �•�.�,:��� ,,
<br />oE Everett permit will be issued. '�''' ij
<br />NOTEi wiring in non dwellinga is rr_q�ired to be in conduit.
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<br />WOIiK TO BE DONE: , �� � ��� �
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<br />SIGNED: , '
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