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ti._ <br />{ <br />C1TY or r•.vea�:�'T <br />on�rr•, �L �� yl <br />BL6C1'RICn7, WIRING PERMIT APPLICATION <br />F�� �y���� <br />JOD ADDRES5 � I �`I �O�'��� <br />TGN/�N7' <br />PROPERTY OWNER <br />GLCCTRIC7IL CONTRT�CTOR � �,�� �_C-3' 5----�� ` 0.i ` <br />CONT{iI�CTOR'S nUURESS ��-1 ` `���� �'�MV��� """-"-u <br />CITY ZIP <br />LICENSr NO. � t.t) �� CT � v J� v�` <br />ADMINISTRIITOR ���e-J�Y <br />VnLUE Ot WOF2Y. � U!i C� — <br />(for commcrical work) <br />USii OP DUILDING <br />EXPTRATION DnTE 2- <br />PIIONG NO. 77P— 3� % 'J <br />(do nol include laxes) <br />tiOTG: WAC 29G-46-140 ieqnires ChaC plans for electrical work at educational, <br />insCitutional or health care facilities be approved by the SCaCe of Washington. <br />ppplicants with such �obs masl show the 5L•aCe approved plans Uefore a City <br />oi EveretL permiL will be i.ssued. <br />t70'fE: Wiring i_n nou dwel.li.nq , i..^. rc��uired Co be in eonduiC. <br />47CAJ: 7'O I3S UONG: <br />SIGNLD: <br />3/.'.7/90 <br />DATEe S <br />,,,_.�..,, ...�'�'�CA1.',9X:^:'N:?1:l": "�::,l��,t1'"PA'�-'ILd��I'�u^!i;�\� ':1,^5';.�",1'.'2f.'. :'ri•;11i,'; � <br />