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CITY OF E`/E�E?'T <br />EIECTRICAL WIRLUG PE?MIT AFPLICATION <br />�i'/ � `j <br />DRTE: `/�j — , -�'=- <br />FE�: <br />;,CB AL`OF.E�S /�J J �> iJ / "`�' � � � <br />,— � a � <br />r��aur /���,���-� �' .S� ��T� <br />PRCP�TY OWNE� <br />EEi:TAICAL CONT�i ACTOR <br />L=C��lSE N�. EXP�RATICN DAi� <br />A.CMINIS iRATCR PHON't N0. C� j �` o�' <br />VPLUE OF WCRK (do not include taxes) <br />(`or cemmerc+2i worx! <br />USE OF cUiL�I�G <br />�`1C7C: �ll%.� G�E-46-?L� 2�CUl:BS tr'2i. pians i0T elect_:c�_ work dL 2�L'Cfl�_Oflfl�.� <br />zns�_tut_onal or health r_a;e facilit_es be approved by the State o� <br />'�lasning�on. Ppolicants with such joos must show the �tate-a:�c=oved plans <br />CePare 2 City oP Everett pe�it w•ill be issued. <br />WCRK TO 6t OONE: <br />�� <br />�' l.� P_ �-- <br />�'�, :' � � oarE �' �� /=L � b 5� <br />SIGNED :�y�>,,/� �i% ��u�y� __ <br />NOTES ar,o COF4ME'dTS: <br />� <br />G/10/87 <br />192:,H <br />