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:� � !�°� <br /> �� <br /> � <br /> �v <br /> � <br /> :. <br /> � <br /> � <br />' N <br /> 6 <br /> [ <br /> aP <br /> � �: <br /> S <br /> � D71TE Q/'�-°I� <br /> � CITY OF EVERETT �o� <br />�� �, FEE�__ <br />•,� y ELECTRICN. WIRING PEF2MZT APFLICATION - <br /> a. <br /> : D h . <br /> JOB AllDRESS � � '� �.S; S�' <br /> � <br /> j TENANT <br /> � PROPERTY OWNER � ` <br /> �� ELECTRIC7IL CONTRACTOA BG✓�c � <br /> i <br /> � _ <br /> � � � CONTRACTOR'S ADDAESS �ITY ZIp � <br /> � <br /> f LICENSE NO. EXPTRI�TION DATE � ___ <br /> ADMINISTRATOR <br /> PHONE NU. 3-�y- � � �r <br /> � �- VAIAE OF wORK (do not include taxes) <br /> f (for commerical work) <br /> i , • <br /> USE OF BUILDING <br /> E <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional oi health care facilities be approved by the State of Waehington. <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 cor.duit. <br /> WORK TO BE DONE: � <br /> . • <br /> p �rrc-• <br /> il � DATE: �'7c' 9I <br /> I�� - SiGNED: �y <br /> .,......n,....,,�sa�. �: <br /> . ...__. .... r��.�-. .., <br /> ._._..:..�,.:.y. . .. . . .� . :-� ..• <br /> _"'..-e.-:".__...._�;_��-.:n�nrm-+r . .. . . <br /> i <br /> I�—._ .___ .. . . . <br />