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CITY OF EVERh'PP <br />�cr�cpz wuurrr P�zrnr aPnr�cA�orr <br />Jos r�n�ss /�l�/ — 9T/� <br />,:,, . <br />� , 30 � <br />�: 2� � <br />P�r�zr aar�x �F,� �l r":��2�% _ <br />Fr.FrrarCAL CONPRACiC�R � f� !� ���' . ��'+��/ /��' <br />NN7PR�LROR' S ADDftF.SS <br />r�c�sE cp. ;. ���n,� FES l�i rJF �uu�z� a�� <br />anr�.�rzsrRa_�roR �1.��,/�11,e/Z15,�.i 1 � rp. �o�?-�-�9l�' <br />VALUE OF F�RK (do not include taxes) <br />(for ca�rn�cial �aork) <br />USE OF BUILDING S �� <br />NOTE: «1C 296-a_6-140 *�;,;res that plans for electrical c,ork at educatioiial, <br />inctitutional or health care faciJities be approved by the State of <br />��ashingtpn. Applicants with suh jobs srn�st show the State aoproved <br />plans before a City of Ewerett pennit will be issued. <br />NOl�.': T�Tiring in non chaellings is required Yn be in conduit. <br />• •� • : �• i <br />SIC,�]ED: <br />12/15/8� <br />. <br />G(% -L—_ <br />