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, -' <br /> `? ciTx oF �rr ; � � �""� ; "u <br /> ,a nAxe 3 g <br /> '." ELECTIIICAL WIRING PERMIT APpLICAT?ON �' <br /> '"`'., . FEE , �� <br /> �.?'f;� JOH 11pDRESS • •,340 ,3 Li/ <br /> � `. l'AS �.vo �e - .�'coG � �37 <br /> F-_� <br /> �,. �� —_. <br /> �,�� � PApPERTY'pWNER <br /> R�•: � �n.� iw✓G 1C(i . <br /> W <br /> i ' ELECTAICAL CONTftACPOR <br /> • �5.� EI�('+r'r� �n n�' <br /> 1 <br /> ODNTRACTOR'S ADDRESS [nl��+h Cstt'�e��- c � <br /> .�� rmi}� �1R2C1:� <br /> .. CITY � ZIP <br /> ` LICENSE N0. �u�o�C3�p3 <br /> } � EXPTAATION DATE i //1��/f�� <br /> a • ADMINISTAATOR '--•�5 P <br /> � . � C'���5�'rr1 PHONE N0. 3y�-,(�� <br /> � VALUE OF WOAlC � � �r,��,o 0 <br /> � (for eommerical work) (do not include taxes) <br /> i <br /> USE OF BUILDING (►,r�,,, s.y�. <br /> �S <br /> NOTEi NAC 296-46-140 requirea that plana for electrical work at educational, <br /> , inetitutioaal or health cnre tacilitiae be approved by the State of Washington. <br /> Applicants with euch jobs muat show the Stnte approved plana before a City <br /> of Everatt permit will ba isaued. <br /> NOTE: Wiring in non dwellinge ia required to be in conduit. <br /> flOR1C TO BE DOtiEt <br /> _- Yvl--�'s�� Ker,1Ud�� <br /> � . . , <br /> � <br /> -__ <br /> SZGNEDt C11 /1 n � �"1 1 �,J(t /�/1 n �t n n� <br /> ' � DATEs 7 <br /> : <br />� . <br /> I � <br />�, � �/27/90 � . <br /> r <br /> F <br />