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r rip <br />CITE OF EVERT OATr, <br />ELECTRICAL WIRING P MIT APPLICATION F`, <br />Hy� .AJ— G--,0 <br />jo <br />x w XB ADDRESS a KS <br />y H TENANT <br />FRC?EiTY OWNER <br />N H <br />mz ELECTRICAL CONTRACTOR, <br />00 n g ELEC. CONTRACTOR'S MAILING AOCRES, <br />t+: <br />0 LICENSE NO. I A'rFi2E l /gam Ra EXPI?A7-ON DATE <br />z 1-4y ACMINISTRATCR ,�', %! ?HONE N0. 0v y_ a%+3 <br />ri H <br />g ti H VALLE OF WORK (for comrreSC (cc not incluee taxes) <br />n Cy : al wo.Kl <br />O to USE OF BUILDING - <br />w 1 <br />NOTE: WAC 296-46-140 cecui_es :..at 1 - elec--: plans .o_ _c_,wo k at e_ucatiCnal, <br />institutional or ne=,:1 ca.e `ac'_1it_es be accrovec by <br />t^e State pf <br />Washington. Apc_c_n,s witn sutra jcbs cst sncw the - <br />plans <br />before a City or =were:- ;,er !t will be lssuec. <br />,, -RK TO EE DONE: <br />SIGNED ' <br />. ( 1 <br />r - 1Q �. DATA `%% 3 Ll/ <br />NOTES AND CCMMENTS: <br />