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!i!:!.liYt'.�18•:.iv�C'�:._ril'.. L1:.}< �.�`..�Wi1�KYTIB'i•Iv"1.:lSIPlrL!f.i:.iSf}!:`:il.. 9.i._..'�ti1LF>:L:�. .i';i:.a A.•... <br /> f � � <br /> CITY OF EVEPETT � DATE_LO I/ <br /> ELECTRICAL NIRINC PEpMIT APPLICATION FEE /3 O <br /> JOB ADDRE56 . I � I O �/�Ur I�— "yG - <br /> xe�„urr _ �(it�At� I��� Ll�f�� <br /> PROPERTY ONNER <br /> ELECfRICAL ODNTIUCCOR -�„� `���G�F �U11��I � <br /> CONTMCCOR'S A(IDPE55 I�7�YY' SG <�J{(. �t �"�-lG JvE ��_ - <br /> CITY 2IP <br /> LICENSE N0. I II'-i•"!.l%C�IZSLI... EXPIMTION DATE � I.7 `R Z <br /> AOMINISTMI'OR ����-I ` PNONE NO. �4'� I '�_ �_T <br /> i0 <br /> VALUE OF NORK ��� � (do not SneSude taxes) <br /> (for commerlcal wrk) �P'' ,, <br /> • U6E OF BUIIr.7NG I�ID� ✓11�1 <br /> N01'E: N�C 296-�6-110 «^quiree thet plans foc electrical work at educatiunal, <br /> • lnctitutionel or heelFh care facilitiea be epproved by the Stete oE Maehington. <br /> Appllcante with euch jobe muat nhov the State approved plans�beEore e City <br /> of Everett pe�mit vlll 6e iesued. <br /> NOTEs Wlcing in non rlwellings is cequired to be Ln condult. <br /> MOqK TO BE UONE: <br /> I�vf�DE A �ohl �ol-TAy� F '�c-, A�enA J�,.(o SJPPPLss�a,l <br /> NSira,.� i I iit� �'i11�1 i r1 �x��I� �i <br /> --r- <br /> � (,D1A� �ID LT.�r,�t��� <br /> > <br /> 6IGNEU: � - �' DATE: �D � � - I � <br /> / <br />