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�� <br /> �,;,� .3�;::�;. .:!iaa;:v��.�: <br /> �'i:�:i.!.�.tlkiAti:$tii4�iC�7i�lyl'JS4l.[SL%�:�hk`r±'�.i[;t6�4lt1LY,`i�Nit�4d)�]e:i.:us':Ltii..S(l�:v���i�:�;l',5,_ ;t.�iil;.ju� . <br /> � � q�.r <br /> • ' <br /> [�7�� <br /> A S x <br /> 9HV~i , <br /> CITY OF EVERETT DATE /O -� -9� <br /> O �O ELECTRICAL WIRING PERMIT APPLICATION FEE ,-����" <br /> � NH , <br /> � o�3 Joe nooteEss . '�D - -��T?'.i _ - � 1-,�' <br /> HC <br /> H �g TENANT L � <br /> n� o <br /> x H� PROPEATY OWNER '� �� ' <br /> 9 H� <br /> r Hy ELECfRICAi. CONTRACTOR CbNS7KuCT =� -' - <br /> �y � <br /> c�7 �f/� CONTAACPOR'S ADDRESS �i s� i'iJ i n u L" � LiJ SE/�i jL� ���'%��— - <br /> � q� CITY Zip <br /> t�7 <br /> H O cyi� LICENSE N0. ,�1,1�-;r.-r �1 i1TS EXPTRATION DATE ' <br /> ADMINISTRJITOR !d/�n�!]�YIA?S�/.,/JI e�+oue No. 2'z-��7'7 <br /> go0 <br /> VALUE OF WORK ��OCx�• '� ' (do not include taxesl <br /> i� (for commerical work) <br /> I�� �'� USE OF BUILDING � ' <br /> �� / ' <br /> NOTE: wnC 296-46-140 requires that plans for elect:ical work at educational, <br /> �� institutional or healtl� care facilitiea be appcoved by the State of washington. <br /> �� • Applicants with such joba must sl�ow the State approved plans�bafore a City <br /> of Evarate permit will be iasued. <br /> NOTE: Wiring in non dwellings is zequiced to be in conduit. <br /> �� <br /> ' `�' WORK TO BE DONE: <br /> L/l'//i/�'/f' r'/R 'ui__� 7S —_i''UG C'/2Cui%J- X /J i2czu 7 t —C <br /> e <br /> -- .� <br /> 1 � <br /> �� �, <br /> , <br /> +_:� / <br /> SIGNEDt ��i/�.L'/�n n !�'N /�(/t'1f%�/� DATE: ���9"�� <br />