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cin- aF ��rr � oarE: 9/�F�_� <br /> ELECTRIG7L WIRING PEiiMIT APPLICATION FE�: � <br /> .:ce aeoaFss _ �709 E Cys;.�,a �-'a <br /> �uahr �%0� i��, �,,,,� <br /> FROPEFtTY OWNER _�L�D,�.c.� �dES�//'JE�v�S <br /> FIECTRICAL CON7RACTOR _�NG� �IEc�,e�� `'p, <br /> � <br /> L_��.`15� NC. I-In.�'Lj L—G /�S— N6 E;(F�ATZCN JATc <br /> ACMINIS iRATCR (Qus,y�//� �,ve_y PfiONE N0. G�'l-�J30 <br /> VALUE OF WGRK ��,SD�. (do not include taxes) <br /> (�or ccmme:cial wor�cl <br /> USE OF BUTIDING __�g, / � <br /> NOTE: WAC 2�6-46-140 reauires that plans for electrical work at eCucational, � <br /> institutional or health c;:= Pac!lities be aoprovetl hy the State oP <br /> washirgton. Apoltcants wi=h such ,�cbs must show the State-aoprovetl plans <br /> SePora a CSty oP Eve:ett pe^ai: wi:l he issued. <br /> WORK TO BE �ONE: <br /> �N 'n9�l� . CJiEN�.'�C/�"/ i' c��1�9SE /C/��PY�1C�� <br /> / /J � � <br /> �? LJe�v/r..5__ f,i.� sf�!//9G <br /> SIG7JED : � CA�� CJ�^��O � <br /> MOTcS AP� C M TS: <br /> :� _�;?� <br /> ,,����a <br />