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� �'° <br />A�x <br />C'. H <br />�H�Cq� <br />yxF-�i <br />�N7d <br />� y M <br />Hx <br />�HG <br />OH <br />�I��g <br />^. Y �❑ <br />a H t�l <br />� <br />r�y HH <br />Qy <br />C] C7 [n <br />� �y [il <br />HO� <br />� <br />I �� <br />J <br />;�,: <br />� <br />onTs t' � �� s�) i <br />CITY OF EVERETT � <br />FEE �% �� ���` <br />ELECTRICAL HIRING PEFtt4IT APPLICATZON " <br />JOB ADDRESS `) S�Ly -7-l-�-. l�vi- � �`- <br />C �';";�'i 7� <br />TENANT �JF nl � �r,��'> 7��. � � r � � c�✓ <br />PROPERTY OWNER N'�C G-Fv:=.R��i /'�,i�;+..�, ;. �i ,In�<� <br />ELECTRICAL CONTRACTOR <br />� �� � l,^�.�� - <br />CONTRACTOR' S ADDRESS Z S r:'� � A r u•t. I-,�r �ITY ZIF <br />LICENSE N0. N`���� �°�`� EXPIRATION DATE . <br />-� . --1 7 <br />PHOPIE NO. J `� > � ��/ / � <br />ADMINISTRATOR C� � ' � ��(1C1C'JL <br />. �LIJ-rJJG � <br />VALUE OF WORK _(do not include taxes) <br />(for commerical work) <br />USE OF BU1_ � <br />e� NOTE: 47AC 29G-46-14u requires, that plans f.or electrical work at educational, <br />I� � . institutional or health care facilities he approved by the State of t�7eshin9ton. <br />Applicants with such joUs must stiow the State approved plans before a City <br />of Everett perm�t will be issued. <br />NOTE: 4liring in non dwellings is required to be in conduit. <br />{90RK TO BE DONE: <br />. �FNt� ��lvu,�,i2- ����l�Lea '� <br />� � /% t�" 7 ) -9 <br />'y�i.�-ti._, 1 rS� � � DATE: <br />SIGNED: �-�- <br />�� <br />