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CITY CF EVFAcTT <br />FLECTr�ICAL NIRZNG F�MIT AFPLICATZON <br />;CB ADCRES� <br />TcNAN'i <br />�OFu2TY OWN� <br />OATE: ���� <br />FEE: <br />/C/�/JJ �/ .�Y�v�. i'�/GS i! <br />��oH�,� ��osr� _ <br />ELECT�i T_C �� CONiriACTOR Z/ n� e. � L! cc� �� H'�' I N L <br />LIr�;lSc KO <br />ADMiNiSirATGR <br />//N/TFF L.° /rIG iy C EYPIRATiON OATc /0�,30 �8� -- <br />,r'� i(i a r !�'4 .-n v�, r r^ F!-'ONE N0. �,� ,� 'y i�� — <br />VALUE OF WCRK ido not include taxes) <br />(for c�r�nercia work! ' <br />US� OF BUILDING � �E,�, r, _, c. r� �.� c � c <br />NOTE: WAC 29E-�+6-1�0 requires that plans for electrical work at educaticnal, <br />institutienal or he=lth care facilities be zpproved by the State of <br />14asnir�gton. Fpplicants with such jcbs must show th> State-aeproved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE CONE: <br />m <br />�IGiJFD : �� ��._� �� � i _ DATE �� �J^ � <br />ri0Tc5 AP1D CC`4t•tENTS: <br />�:i :;Ji;�7 <br />1:�`S'-, <br />