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.a�.A'J:HnI/1�0'..fr�.\'�a.'..1'il n....._. � �1". .i.�[YSI�VJJ��'1:..�..�'J.::ILl4'..�...�lY��♦. •. �.. _.. �u���nr.0 . ... uw.0 �•.. . <br /> � 1 � <br /> CITY OF EVEP6'CC � D��/� -�/ <br /> EL6CTRICAL MIRING PEPMIT APPLICJITION FEE ��� <br /> SOB MDRE56 . ��D �/1�-���� — <br /> �r�e„u„� Ct��R,1-I_ t�7D�Y wc?�f1GS <br /> PPDPERTY ONNER /!�Ul��SO�� <br /> ELECfRICAL CONTMCfOR .�`k�C7f�'1 6� r,UC.i <br /> CDNTMCT'OR'b MDAE55 /"d /Da / /!'�A'1`YS�l�iGCL-� �'z7d - <br /> CITY 2IP <br /> LICENSE N0. AL� ICX 13ZZ JI� EXPIPATION DATE � � 5I � I <br /> 110MINIGTINI'OR �� 1�V{ I�U N�/� PHONE NO. �il� /7"3.� <br /> VALUE OF NORK ls �� � (do not Snclude taxes) <br /> (for conmierical work �/ � <br /> ' USE OF BUILDING ��/ S��/ ��`������ <br /> NpTE; BAC 296-�6-140 xequlree thst plane for electdcal vock at educational, <br /> • inetitutlonal or health caze facllities be approved by the State oE Naehington. <br /> Appllcants vith euch jobe must ahow the State approved plans�lxfore e City <br /> oE Everett petmit wlll be Seeued. <br /> NOTE� Nlcing in non dwellings ia required [o be. in conduft. <br /> fqAK TO 06 DONE: <br /> Le/iR�� (� S'/.f,dY �af7(S <br /> �/ q q <br /> SIGNED� �V DATE: I�j'Tjl' (I <br />