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mr� <br />ay <br />JD ad <br />C: H <br />aHLn <br />ryxy <br />H xH <br />�C C] <br />H0 <br />rOsJ H'�J <br />(/] H <br />z <br />�� <br />O H <br />/W/0 <br />yV <br />9 A <br />t' H H <br />gco <br />H <br />O t7 N <br />9Mr <br />th M <br />x r3 En <br />H O ro <br />C3 <br />a <br />CITY OF EVERETT DATE <br />ELECTRICAL WIRING PERMIT APPLICATION FEE <br />JOB ADDRESS I J,7/ 33`HAyC L) EvER.E7T 1fA4 9f3:�7,s <br />TENANT <br />r>> yr ii i�i�C Pb/3/AC 7b'> Iht[K/L7F�J 1,'A 96%1Z5 <br />P ROPEi.TY OWNER 7 <br />ELECTRICAL, CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />LICENSE NO. _ <br />ADMINISTRATOR <br />VALUE OF WORK <br />(for commerical work <br />EXPIRATION DATE' <br />PHONE NO. ?L/3 - 30/ g <br />(do not include taxes) <br />ZIP <br />USE OF BUILDING )= <br />NOTE: wA.0 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Washington. <br />• Applicants with such jobs must show the State approved plans'be£ore a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORY. TO DE DONE: <br />/ JrAT.S 9 PLUGS /tiJ /7�(yJ //1/T i- S--E ME. <br />DATE: 2 - <br />SIGNED: r <br />