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CITY OF EVEAEIZ � '• GA^."_' rY�(I �'I <br />, ELECTAIGIG HIaZING PEAHIT AP9LIGTION FF.E %� c�U <br />SOB AD�RESS <br />TEI1AtiT <br />PROPERTY OWNFR <br />ELECi'RSCN. CON7 <br />GONTAACfOR'S AC <br />LI@ISE N0. OI7 L S EE � f0 N/i�,� ." . E�TAATION OATE 3 <br />ADlIINISTAATOR O�L.J�LN��dSO�M .. PftONE N0..2�1Y-�GG�/ • <br />VALOE OF 4AA1C '.�l �� �� (do not inelude taxes) <br />(tor cro�erical wrk) � <br />USE OF BOILDING � P_ `�) r�} <br />NOTE: WAC 296-46-140 zequirea that plans £or elect:ical vork at educatianal, <br />institutional or heallh care facilities 6e ao�znved by the Sea:e of iiashington. <br />Apolicants vith such jabs must show tha State aporoved olans bniore a City <br />of Everett permit vill be issued. ' <br />NOTE: Niring in non dwellings is required to he ia conduit. <br />WOAK TO BE DONE: <br />(.-�.�t�� �OLJ FIR!`JL/f <br />$I4:IEO: . __.�,�. 2f� /,'���// �G�4� DATr' —�[/� <br />7/77/90 <br />