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� <br />CITY Oi� I•_l�i ElT <br />EZE�TR]:CAL M7RING PERMIT APPLICATION <br />� <br />DRTE: �G- j - �� <br />F�: <br />�DB ALICRESS ��� ��97��'�; <br />'��'ANT <br />PRCaE'riTY OW�E:R <br />EL.ECiRICAL CON'iRACTOR •�G/✓/ <br />c--• <br />1.�.1�z-; f ,-� <br />aJ <br />E! .EC. CONiRAC � OR' S MAILING ADORE�e f' D- %��x 'z Z 3� �t�'f'�� .�/vS4']�' �j "' <br />LiCENSE N0. �v/f//%�����jj�� EXF_RA.-iON DATE ��,�0 � �/ <br />ACMINISTRATQ� _��fjJ �r, /���jx�•� PF+,ONE t�p. ���- 3�5�� <br />VA�UE OF WORK `/ J� <br />�T a�� (Cc not include taxes) <br />(for comrt�srcia work <br />USc CF BUYLDING <br />NGTE: WAC 296-�i6-140 reeuzr=s that plans `o: <lec.rical werk at educaticnal, <br />institutional or health care facilities be approved by the State o� <br />Washinaton. Applicants with such jobs ��.ust show the State-approve0 plans <br />before a City of Eve:=tt permit will be issued. <br />'AGRK TO BE DOt�: <br />.-��v> %�+i ?- �- ,L,/ 7�/ (/J <br />r <br />