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� <br />.. - � .+.s.':s!a'S::ilil.{i'....J.�a�.i.i+.F:..t..L'��.ii7...�.:AdI�dSLYr.i-PY�...,...�.�..1.:u.v/.tl.i .51:2i. � i:/ _..�f'.��C.„ ..,�.. .:n.tG�.J�... . <br />I <br />� 1 3+� <br />[�1 L�7 � <br />aH <br />,ozx <br />C.' H <br />Y H C/� <br />��� <br />"�b H'+J <br />CA H <br />O H� <br />�/��g <br />y� Y � <br />ay� <br />��H <br />N <br />C] C7 y <br />��� <br />H O Cy/� <br />C� <br />�� <br />� � <br />�� <br />�� <br />�� <br />� <br />/ C' <br />CITY OF EVERETT �� DATE �/' - <br />ELECTRICAL WIRING PERMIT APPLICATION FEE J-� <br />JOB ADDRESS . SSL, h� ~� �7U� ILI�� _ _ <br />TENIINT <br />PROP£RTY OWNEA K� i// l%/ > <br />ececTaicai, cnNzxncrox �C I��� �� 1�'� C/1J� � <br />' � . , � _ . _ . /,7,;v :�� <br />CONTHI��CTOR'S ADDRESS <br />: <br />ZIP <br />LICENSE N0. 1�C%L` �3�2 J�" EXPZRATION DATE �_ VG"C� .�r /� <br />/� �/ � <br />ADMINISTRATOR ( ��Gi/C(..�:'✓�� PI10NE LlO. �� S� I! 3` <br />VAI.UE OF WORK (do noC includc taxesl <br />(for commerical work) <br />� � � � ' <br />USE OF DUILDING _.. J /� (� <br />NOTE: WAC 296-46-I40 requires that plans for electrical work at educational, <br />• institutional or health case facilities be approved by the Slate of Washington. <br />Applicants with sech jobs must show the SL-ate approved plans�Uefore a City <br />of Everett permit will be issued. <br />PlOTE: Wiring in non dwellings is required to be in conduil. <br />WORY. TO BE �ONE: <br />. ,�� �{r;�C�rriS ��_�i: /%i�Jr'll����l laZ�S�L.u{ Suc,/rC� <br />,� <br />;! <br />SIGNED: � ��� � �:G.CS�t � - DATE: I(� �i' �I � _ <br />