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CITY CF EVE-;E 1 1 <br />SEC 1CAL KRING Fr.MIT AFFLICATICN <br />LAiC <br />CC9 ACCRESS C7 " V (<7 Z2!2e� U <br />IuNANT XaQEsS/t>. J <br />F ,CFERTY OWNER L % % CO D /� <br />ELECTRICAL CONTRACTCR _ �� ,e qN ; 7W CI CCTQ) C_ <br />LICENSE NO. ' UE ) Z e� C C EXFIRATICN CAME <br />s 1 ?D <br />ADMINISTRATOR _ 8 PHONE NO. g r, Cf C� 3 <br />yi+)2 : sq <br />VALUE CF 'WCRK /pOa pp (cc :: ct include taxes) <br />(for commercial wcrx) <br />USE OF BUILDING Cc m iT, _ <br />NCTE: 'AAC 296-a6-1AC recuires tat plans fcr e_ectrical. work at ecucat_cnal, <br />institutional or health care facilities be approved by the State of <br />Washineton. Acplicants with such jobs must show the State-aooroved plans <br />before a C_ty cf Everett pern;:.t will be issced. <br />WCRK TO SE CONE: <br />/,v 779 Lc.- P// ti L Z_ o u T-I . c T <br />SIGNED : //// �! DATE <br />NOTES AND CCMVIEJTS: <br />6/i0/27 <br />la2EH <br />