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� <br />r <br />h7 � <br />.O�x <br />ayc~n <br />H �� <br />�! C) <br />H 'A <br />oxo <br />'� M'-0 <br />NH <br />MO�H <br />H�g <br />G7 M C) <br />t+y� <br />yy <br />g H <br />C) C7 N <br />C � <br />HOtyi� <br />� <br />C��Y CF EVEryETT <br />rL�,r^�Gj, ifI�?NG PE7MIT AP?LiC+:iOif . <br />ca�- 11Z`15� 5�, �'uue{� /(Jr� <br />JOB rlI7�RF.55 <br />TENANT <br />PROPEIt^_' OWNER <br />CA'"� S- ` � <br />ELECfRICAL CONTRACTOR Y�O �ME-1 i"1 i U1C - <br />CONTRA�OR' S ADDRESS `-\Y1 W�.. `1 G• �T� e�� I,i `�`I ITY�� � I ZI� <br />�IIO(EI�—I���L� _ E:@T_RATION oxr�' �.�a�(�I <br />LiGYSE N0. 'I <br />ADML.YIS:'.4ATOA�U.J\�F_� '(��� . PH(7NE NO. ��`�� � • <br />VALUE OF WORK <br />(for coe�erical work) <br />U�c OF 3UILDING <br />� <br />_ (do not include taxes) <br />,ypTE; itAC 296-4fi-14J reauires Ghat plans for elec!rical work at edueational, <br />+�stitutional or health caze Fac'_lities be an�roved by t':e State of washinqton. <br />.aoplicants +it1 suc'� jo6� must show the State aporoved plans beic`re a City <br />af Everett pezmit will be issued. <br />NOT�: itiring in non d•�relli.^•Ss is rea�aized to he ia conduit. <br />WORK TO AE DONE: <br />SIG7E�: <br />3/2i/50 <br />_ "� <br />�VLr <br />DATE: �-`7 I V <br />� <br />