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CITY OF EVEFtETf DAT'c: �`p ' 1�^ ' o� <br /> E1ECIRICAL WIRING PERMIT APP�ICATION F�: <br /> :OB AOCRE55 �a �a��7 C (��� �O <br /> TENANT <br /> FRC?EitTY OWrER �__� 1 Cnl �i�SS�^� <br /> ELELTRICAL CONTRACTOR ��A-vn � <br /> e EC. CONTRACTOR'S MAILING ACCAE:= -- <br /> LYCENSE N0. EXF_TRA'i0N OATE <br /> ADMTNISTRATLR / <br /> PHONE N0. (j�Y �P"�� ����_7 <br /> VALUE OF WORK (Cc not tncluUe taxes) <br /> (for commercia worK <br /> USc CF BUILDING SIN�.�E- CRR �1 �i��s'� GRIzJr�.� <br /> NOT'c: WAC 296-46-140 reauir=s that plans fo= elect:ical we:k at educational, <br /> institutional or health care Pacilities be approvec by the State of <br /> Washington. Aoplicants with such johs �-ust show the State-aoproved plans <br /> before a City of Ever=tt pe:mit will be ±ssued. <br /> 'NGRK TO EE DOPE: <br /> �R� GAF�Tc.t �`=�f� LIGN-i'S 't l�i.'p��CS <br /> SiGNED : ' DATE �(l- I"� �`1 _ <br /> NOTcS ANO CCMMENTS: <br />