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� y <br /> ��� .- <br /> �H�n <br /> ��� . -� j p+ua <br /> �y� CITY OF EVERETT DATc: '-�� �' �� <br /> x ELECTRICAL WIRING PERMIT APPLICATION <br /> o�yd F�: <br /> �__ <br /> ��g / <br /> a H� �78 ADCRESS �-�J/ L „r'✓ :�), � N <br /> y <br /> t y iENANT . � <br /> gC�vHi PRGPERTY OWPER %�� � �G' I L'� C � <br /> O� 4ECTRIC�L CONTRACTOR (3 i(f�, � '' 1'�C. -,C' >' <br /> [�i� <br /> ELEC. CONTRACTOR'S MAILING A�CRE:a .���5 �IL-� ' / <br /> ___ . . _ ;J� � �� .:��r�,�.,�( <br /> � ��CENSE N0. � �� ��L-'�l��`� EXF_TRA?i0N DATc J ��'1 <br /> 7 �� <br /> ACMINISTRAT(R �r I)���; I� ��cF c�� PHONE N0. 77°I �.(/ J <br /> VALUE OF '�vORK :�-�C�� — (Co not _nclude taxes) <br /> �`or commercia.�work <br /> �• �' <br /> US� CF BUILDID!G _��}� . <br /> NGTc: 'NAC 296-46-140 r=au:r=s th�t plans r"o= =_lec�_ical �Ne:k at e�uc�tional, <br /> � '� ins�itutional OI ne`th care i2Cl].=tic5 CE dppPOVEC by �;18 $�^ct2 Oi <br /> Wzsnington. Applic;nts with sucn �obs c.ust show the �tate–aooroved plans <br /> ' ' L'8i0i8 a City oi Eve�ec� pe�'t wi11 oe issued. <br /> � ' '�IGRK TO 8� DONE: <br /> 1 ' i , <br /> (� L' ' J�I-�.� , � �' _� ` �c� /�n <br /> 1 <br /> I <br /> li <br /> 1-! <br /> r_I - � - <br /> , <br /> _ �� '� i`" � S i <br /> ��� SIGNED i�. �i(`l�t:s,_ CI C��c C � ��' _ DATE �' `• <br /> � u ' <br /> _ __ NOT�S ANO CCMMENTS: <br />