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x:x3 0 H <br />Ch trIV <br />x <br />Cy H <br />t' Hx ti <br />y Y H <br />.! C7 <br />H Ox0 <br />ti0 FA NH H <br />z <br />�o <br />9Hz <br />t z <br />HH <br />H <br />C"e� <br />13 rN <br />H O fn <br />CITY OF EVERETT <br />ELECTRICAL WIRING PER14IT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNE^ <br />ELECTRICAL CON7 <br />CONTRACTOR'S Al <br />DATE G <br />FEE__ <br />LICENSE NO. �+-".J SC �I I�Iyy:EXPIRATION DATE <br />` ,-- PNO' No. <br />ADMINISTRATOR <br />VALUE OF WORK (do not ins. .de taxes) <br />(for commerical work) <br />ii USE OF BUILDING � � <br />NOTE: WAC 296-4b-140 req::ires that plans for electriinstitutioal cal work at educational, <br />ies be <br />roved by the <br />Applicantsnwith rsuch ljobs th amust ashow tthe State papproved plans tbefore aate of aWashington. <br />City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwell'ngs is required to be in conduit. <br />i <br />WORK TO BE DONE: <br />LSIGNED: <br />Ln ; <br />3/27/90 <br />DATE: Z. o- <br />M <br />K <br />