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, ,e <br /> i <br /> .,;::� <br /> { <br /> 5�� <br /> M y <br /> C" _ �Fn. I <br /> H�� <br /> tC � <br /> O <br /> �� � � ! <br /> x ; <br /> o�e � c7 <br /> Q �y I DATE I ��-I' ( I ,� <br /> [�p I CITY OF EVERETT <br /> • A I / <br /> x�H� j ELECTRICAL WIP,ING PERMIT APPLICATION FEE _�f"� �� � <br /> L"' <br /> �- r a3a/ <br /> �' � Joa aonxEss r�66-F ��✓ ���y i�P e•� (� /n��/ _ ', <br /> � ' TECIANT � I( rJ.SjL�U/�4'K� � <br /> �� � � ' <br /> .- �_�. PROPERTY OWNcR Sj�(S�L' � lZ �1L%7���25 i <br /> �. ELECTRICRL WNTRACTOR �OPST ("-�PC�/�/L ��' �i <br /> 1� / G+�j i <br /> �i CONTRACTOR'S ADDRESS ��2IIZ F(�f,h S/n/1 ��GT� i°y"�� ' I! <br /> ��. � CITY ZIP <br /> � ' LICENSE N0. ( Or;��C�yj�� EXPTBIITION DATE � . / �-/� � <br /> � <br /> / � ADh1INISTRATOR �H ��� PHONE NO. ���-9��� <br /> I ����' �ALUE OF 470RK ���d�. � (do not include taxes) <br /> � (for :ommerical crork) <br /> 1 �-' • OSE OF BUILDING .c' �;)rQ,u/^G��4 � <br /> 1 � <br /> ���� � NOTE: F7hC 296-4G-140 requires that plans for electrical work at educational, <br /> � • institutional or health care facilities be approved by the State of 4lashington. <br /> i <br /> � � ��'�a� Applicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> i <br /> �� ; NOTE: Wiring in non dwellings is required to be in conduit. �. <br /> � w� <br /> � WORK TO BE DONE: ��. <br /> ; �— �,�5<��l �r d�;, f �- ��.�. L�. <br /> —_ <br /> > ��. >,�,� —– <br /> I / /�l/F1�G <br /> �9. <br /> � /oo��ii' 5�,�- /��. y�o.� /Lla,,�/ �:.�.�.c .�.�,�f <br /> SIGNED: (GG "� � �i � DAT�: �U -� �� I <br /> �, � <br /> 1 � , <br />