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/ <br /> CZTY oe ever,eT•r nare �,j'_�;�;,/`�/ <br /> `�� <br /> Ei,ECTRICAL WIAING PERIdIT APPLICATION FEE ./J �~ <br /> � �/ �` � � <br /> ��y JOB ADDRESS ���� / //�^ �/ I •) ,� <br /> Q y TENANT �!' ( l I i�r ' <br /> � �� P('iOPERTY OWNER I-/(l � I(� L- � � \ � �',��I�• �' i � � I <br /> N � <br /> � <br /> ,� '� ELECTRICAL CONTAACTOR J� � �� ' � � � ( �� <� �- <br /> � �'� coN�rrucToa�s nooaess �/��1,) .�� " Cl•'- ij �1�t� c �1,� E_ �,4',% �C� <br /> 'yo' CITY ZIP <br /> HC T n <br /> '�U �l7 LICENSE N0. Ji,U v t C I I`•� � � �- F.XPLRATION DATE �.� �� i <br /> (� � �7 � <br /> '��y � C', (� � PHONE N0. �r� .S 7- L���'� <br /> '� �„� ADhfINISTRATOR , � I � ��( � !(< <�. i <br /> H <br /> �y y VALUE OF WORK (cio not ir.c:ude faxes) <br /> �„� (for commerical work) I <br /> O pl r ' ) <br /> ��t+ USE OF HUILDING ���i G. Q !-C[- l�i �_ < �� ' I <br /> y � —� <br /> O tn <br /> NOTE: WAC 296-46-140 requires that plans for electr.cal work ac educational , <br /> � institutional or health care facilities be approved by the State of Wa_:hing' ��n. I <br /> Applicants wi[h such jobs must show the State approved planc be%ore a Cicy <br /> oi Everett permit will be issued. <br /> � NOTE: Wiring in non dwellings is required to Le in condui[. <br /> i �� <br /> WORK TO BE DONB: � <br /> � <br /> �C o ,� ����� ;�� � .� � c e �d c��� � � �J�ir ; - �(. 4 �' �� � -- <br /> i ,. � <br /> �� <br /> _� — <br /> t�l�i � -- <br /> , .� . <br /> �� � � , ���G /� ; <br /> sicNe�:� t � C lic ,��� i�/�l�7it!1. _ nnTe: �_ <br /> � , <br /> �� , <br /> , �h� ,. 3/z�/�u <br /> �; �, <br /> �j� <br />