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� � <br />� <br />� <br />CITY OF EVEAETT DATE ���"I � I <br />ELECTRICAL WIRING PEAMIT APPLICATION FEE__�� <br />JOB ADDRESS � I�C� �jroU�Yid1�'L �1Ud� . <br />TGNANT <br />PROPEflTY OWNER C..Db���l'� ��h �� � <br />ELECTRICN. CONTRACTOR 1--�i-� CIPc.lf�C_ <br />CONTRAC'NR'S ADDRESS <br />�e��.+f �((v�l Lhe n��au �t (�P<�`�, <br />LZCEIISE NO. L L`� �� �� Q� <br />ADMINISTHI�TOR <br />VALUE OF WOIiK <br />(for commerical work) <br />2IP <br />GY.PIRATION DATE <br />e�aoNe No. 3�� 3- a�/ 7 <br />(do not include taxes) <br />� USE OF OUILDING �'��y��� ����� � � — <br />NOTE: WAC 296-46-140 requires that plans for electzical wo�k aC educational, <br />• institutional or he�lth care facilities be approved by the State of Washington. <br />Applicants with such jobs must show the State approved plans befoce a City <br />of Evezett permit Nill be iesued. <br />NOTE: Wirinq in non dwellings Ls required to be in conduit. <br />WORK TO BE DONE: /?�t<)4h. � . <br />C� _ -���, �r •r -(� �'�-- <br />�Gi <br />SIGNEDt <br />� �'� �* .� ._� <br />r <br />DATE: <br />� <br />� <br />