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1x-3 Cr] H <br />L�7 C�1 � <br />��x <br />C, H <br />�Hxm <br />HZH <br />�H� <br />'�] H �HJ <br />Hx�C <br />L�70� <br />H t7 <br />H � O <br />HV � <br />�H� <br />g�y <br />C] Cy v� <br />��� <br />HO[�ir <br />CITY OF EVERETT . <br />ELECTRICAL WZRZNG PERMIT APPLICATION <br />Joa anoxEss � 0 p ¢ <br />�B �. <br />DATE G� �� <br />re� 2`��`' <br />TENANT <br />PROPERTY OWNER /�� / / /f N /f'/f � � TD ^� . <br />ELECTRICAL CONTRACTOR /� /1 � C- _- L- <br />e� � O�yO/'1/Sh C��,�t 9�?9n - <br />CONTRACTOR'S ADDRE55 9�'�� ��a !'T S N CITY ZIp <br />LICENSE N0. �r�f �1 /1 ' �l 3�� - E:LPSRATION DATE � �/% <br />ADMZNISTRATOR <br />E/L/ C /l L1-�/OJ�i!S�ON PHONE NO. i' .L 4'�- �=J' l/ F <br />(do not include taxes) <br />VAL,pE OF F:ORK <br />(for commerical work) <br />USE OF HUZLDIt7G � � �'�— - - <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of 47ashington. <br />Apolicants with such jobs must show the State approved nlans beiore a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is reauizad to be in conduit. <br />WORK TO BE DONE: <br />�� - <br />/� �L � DATE: <br />SIGNED: � � � ( �• � <br />