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CITY OF EVERETT IWTE���(�i <br /> � °� <br /> ELECfRICAL NIPING PERMIT APPLICATION F�E S <br /> JOB ADDAE55 //f� �/ ������C� �J�^ <br /> TENANT <br /> _ �/ ��� <br /> PHQFERTY CWNF12 (�J�/f7 � / <br /> ELECfRICAL CONTILICTOA �/� <br /> CONTRACTOR'S ADDRESS �/l�'"� 7� O Y�.�/Ii�/�/' �����/ ���� <br /> CI?Y ZIP <br /> LZCENSE N0. F.%PTRATION DA:E <br /> ADMINISTRATOR ?F.'ONE :10. �4 / �� __ <br /> VALUE OF wORK (do not include taxes) <br /> (for comserical work) ,7�.��" <br /> 115E OF BUILDING / /'/�/J`�� I <br /> NOT�: WAC 296-46-140 zecuir�s that plans ior electrical :rork at edncat'_cr.al, � <br /> institutional ar h+alth care facilities be anproved by t.`.e Sta.e o: �Jasniagton. I <br /> Apolicants aith sur;h jo6s must show the Stacr apozoved olans �e_oze a C:ty <br /> of Evezet: permit will be issued. <br /> NOTE: SJisinq in non dwellings is required to be in canduit. <br /> WORK TO 9E DONE: <br /> ��U � iG—�'s ,b �/-�'l � 6-Ch . <br /> � <br /> i <br /> SIGIJED: - � DATE: �`/ � <br /> 3/27/30 <br />