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f \ . . <br /> CITY OF EVERETT DATE 5"�� "`jO <br /> ELECTRIGIL WIRING PERMIT APPLIGTION 76 °-� <br /> FEE <br /> Joe aDDxEss � ;=..?� /I/�'�f'tON — f�/��Ptt <br /> TENA.VT <br /> PROPERTY OWNER !'.1J I I C 7 I . <br /> ELECTRICAL CONTRACTOR ' ' / ( E/V G/���� � 1 (��lJ �h NC�( O�S <br /> ccrrrxacroa�s anD�ss _1���C�/' `� `j �LLC� E /�/>;�1�Gt`l� llJ�. �i�(��`f(o <br /> CITY ZIP <br /> LICENSE N0. �(�F'(' l �'C:. /l���JL� E7�tRATION DATE <br /> ADMZNISTRI�TOR . PHONE N0. � � �- � S ,Iy .J . <br /> VALUE OF WORK (do not include taxes) <br /> (for commarical work) <br /> USE OF BUZLDING ) �,{�/ IC K <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be aoproved by the State of washington. <br /> Applicanis with �uch jobs must show the State approved plans be£ore a City <br /> of Everett pezmit will be issued. ' <br /> NOTE: Wiring in non dwellinqs is requ_`=ed to be in conduit. <br /> WORK TO BE DONE: <br /> . .� - la5 ;l,���n <br /> ,,) <br /> SIGNED: `, /�C-C��� il[��� DATE: � -;'1S -`.�O <br /> . ,� i � <br /> v <br /> 3�s���o . <br />�' <br />