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�.._: <br /> CITY OF EVERETT everett <br /> ��� �EPARTMENT OF GOMMUNITY DEVELOPMENT SERVICES <br /> ,a�x APPLICATION <br /> C � <br /> 9HCn <br /> ELECTRICAL WIRING PERMIT <br /> � � <br /> I , \ <br /> . � <br /> � � H'•�V _ ,7 � �S b 1 . �-�-Q,`. <br /> y yC JOB ADDRESS 'S Z(�' �' ( � �� � r <br /> x USE OF BUiLDING <br /> �d t ..�,c T:.. �__ �i_ •_/1L..:L. ._..—�a : <br /> � �-�3�G PROPERTY OWNER � �'�`- l' l l S �— � � c '� • <br /> o H � 1`� ` �111�'}� �j ,. LICENSE NO..� l te� r�l I�l - � I 1 1. �� . <br /> � �g CONTRACTOR r3_j � - ���j�rC <br /> zH� VALUE OF WORK (cortm.) TELEPHONE N0.•s--� <br /> WORK TO BE DONE: <br /> g v~i N '� �,�W �� ALTERATION REPAIR REPLACE <br /> o t7 tn 240V <br /> � �� WIRING NUMBER Of CIRCUITS 120V <br /> iz-7 ovi ,� �� �� SERViCE NUMBER OF CIRCUITS --;�— 120V �240V <br /> SIZE AMPS <br /> t� FORCEC AIR FURNACE G�-%. _K.W. (MECHANICAL PERMIT <br /> ALSO REQUIRED) <br /> 6ASEBOARD TOTAL WATTS <br /> ��� <br /> �� <br /> 2.,� �t ;t� < < �.�/ h�h�t� <br /> ��`� DESCRIBE WORK TO 6E DONE � � <br /> �a � <br /> � � <br /> I ." <br /> _,6,! �-��' <br /> � �'— DATE �l't< � �j �� <br /> .� SIGNED 6Y � ��� �--t-"'��� <br /> � �� /' DO NOT WRITE BELOW THIS LINE <br /> ��� NOTES�TS � <br /> � -<_'v <br /> TOTAL FFE � �S <br /> � APPROVED BY <br /> DATE <br /> 9-1-79 <br />