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��a� � ( i <br /> c:xx ot^ evenEt�r oAre `/� ( �lG; <br /> gLECPpICAL MIRING PEPMIT APPLICATSON FEE 3�>1' <br /> J0811DDPE35 LS � J Li �� �1�5//U" ��� ���CI � J.t'i: H �/u��iel���J� U',. Pr� <br /> ✓ ` <br /> � ' /' ' C�15x'C ) <br /> 1'exu7T j i � r � °. � r. !.✓�/� ( f`�/�or.:lio,� <br /> ) � <br /> / ) �) <br /> PROPERTY OMNER ��A i�c I1CIa �• ' 1f5) ��! /l <br /> EI.ECfRICAL CONTRACi'OR �/I�/Q({ ��t('Tj'�C <br /> cotrrnncran�s wonEss C 3 �,tjE�� , <br /> /_S ' '� , L_ � L� .,-�=ir�S ,����� ( <br /> CITY ZIP <br /> LICENSE N0. C ��< < �'C/f' C� a f.�I E%PIPAPSON DATE � % I' I Y <br /> ADMINISTMTUR �.��i ?� C� � i`�� f.' PHONE NO. /��� ,'i�I <br /> ..,�r <br /> VALU6 OF YqAK ��`�� �� (do not Snclude tnxee) <br /> (for cooerical wo[k} <br /> i <br /> USE OF BUIL�ING ( - <br /> NOTE� WAC ]96-46-140 requlree [hnt plena For elac[ricel work et educetionel, <br /> lnetitutional or heslth care fecilltiee be epproved by the State of weshington. <br /> Applieanle vlth euch jobs muat ehor [he Steta eppmved plane before a Cit� <br /> of Everett Fe[mit vill be iseued. <br /> NOTBi N1[Lng in non dwcllinqs i= �er�ui�rvi tu hc in conduit. <br /> NOqX TO BE INx�F: <br /> j1�1�1 � ��'. /���— <br /> � ' 'i 1 ��� � �� <br /> _ �i- / <br /> SIGNED: � <e I�" l DATE� _ <br /> 3%_i/90 <br /> 3L23 / <br />