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� <br />c;�rx oF EVE.nE� <br />� <br />CAT� /� -_ /p - i0 <br />ELECTRIGL WI72.`IG PE4I�LLT AP?LICaTION F£E J'S, 00 <br />JOB ADDRESS a 9. � 7 �/,�l ss�4 r.r <br />xErrar�x /�., . , .G3 . ,51.,.0.� ' <br />PRpPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />CONTRACrOR' S ADDREss � O/ S /% 2 0, <br />LZCENSE NO. �YI�G/.UEC�%`�C� <br />ADMINISTRATOR �fl /�� �%'I !' � /k� %-� <br />�7BLIIE OF WpRK <br />(for co�erical vrork) <br />OSE OF BOILDING"" � <br />CITY <br />E.'�l`RATION Oe1TE . `.� - � �f - �-'� <br />. . PHONE NO. . �So�- ���T�7 ' <br />(do not include tases) <br />NOTE: WAC 296-4b-140 remiires that plans £or electical work at educatior.al, <br />institutional �r health care facilities be an�roved by tae State of Washington. <br />Apolicants with such jobs must show the State apnroved olans beiora a City <br />oE Everett pezmit will be issued. � <br />NOTE: Wiriaq i.n non dwellings is rev_uired to he in conduit. <br />F7�RK TO BE DONE: <br />. •SPD , l , � <br />slc.vEn: naxj: lo -/o — i o <br />3/27/90 <br />