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i <br /> i <br /> � <br /> � <br /> , <br /> � <br /> i <br /> I <br /> r, <"', <br /> CITY OF EVEAET: CAT� �]- (U - n7 D � <br /> ELECTRICIL WIdINC PERMIT AP9LZGITION FEE <br /> JOB AODRESS /��GE�' ��('ylJ/�<.0 /��S+UP- �J <br /> TEtJ11NT � <br /> PROPERTY OWNIIt ('_. � 4��7Ki i �G.tr_�_ �n.r <br /> ELECTAICIIL CONTAACTOR C�(el 11 E'�� . <br /> CONTAACIOA'S ADDAESS c_8r7-a-9 �/U .�,�_ Ct�. ,S,cv�E' A. �I U�ci['o /.cMi_ r�',�75^ <br /> , °� • CITY 2IP <br /> .. LZCENSE N0. �� � fS�C�, (4<<;/�l� .�' . gj@ZppTION DA.TE �i � ( � _ `�i ( , <br /> 11DMINISTRATOA �_ . . PRONE NO. ,� �/7 �k}-� n ' ' <br /> VALOE OF WOA1C (do nat include taxes) <br /> (!or co�erical work) <br /> USE OF HQILDING _ �-d�J., � :�L �� �x.ae <br /> NOTE: WAC 296-46-140 xaquirns that plans Eor elactr±cal work at edncatian , <br /> iastitutional or health care facilities he aopraved by the Stata of Washingtan. <br /> Acplicaats with such jabe must show tha Stata approved plans bafore a Clty <br /> of Everatt pazmit will be issued. ' <br /> NOTE: Wirinq in non dwallinqs is required to be in conduit. <br /> WORK TO BE DONE: <br /> �— <br /> . . � �—' �� �''A�_c,. �/� �� . <br /> � � <br /> i • <br /> SZG:IED: .�'/� ycz�'l OATE: '�► i�/� '�' G� <br /> T o <br /> ` <br /> ]/27/90 � <br /> i <br />