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Czar Of EWAM <br />XB ACDRESS 1 K <br />TENANT V-- 1 r S l J-. G <br />DATE: 9 (Ztof <br />FEE-: <br />PROPERTY OWNER \-,r�ij <br />in CONTRACTOR P J <br />LZMSE NO. (,Y T4L,5 37'-'-) Ci - f E:<P:FIAilCN OATE Z6 <br />ACMLNISTRATCR '�� ^ PHONE NO. <br />IV <br />VALUE OF WORK �iflcr ic�1 ' (do not include taxes) <br />(for commercial wore <br />USE OF BUILDING la, <br />NOTE: WAC 2,06-46-140 re_auL-res that plans for electrical work at eCtcaticnal, <br />institutional or health care facilities be approver by the State of <br />Washington. Applicants with such jobs must show the State -approved plans <br />before a City of Everett pezmit will be issued. <br />WORK TO BE DONE: <br />SIT'En . <br />M=3 ANG CS'AMEITE: <br />DATE - <br />