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� <br />CITY � EVEREfT <br />� <br />�ATt: �"%/z ��' � <br />EZECTRICAL MIRING PERMIT APPLICATION Ftc: <br />J08 ADDRESS _S� Z¢ /�f� S T d� <br />TENANT <br />PRCPERTY OWPER � c_ p � /L <br />ELECTRICAL CONTRACTOR ,P_2_ c L S � L� G <br />ELEC. CONTRACTOR'S MAILING ADDRES.: Q3 !/ /Bg � % T 5!� <br />LICENSE N0. /.g/'—� �s /7 24 3 o ri EXFIRP.?i0N DATE <br />ACMINISTRATCR /.�/•-�-� G ,.'r.�' �¢-�c/�,1r�5o,c� PHONE t�. E H� ��f'1 �� <br />VALUE OF WORK (Co not include t�xes) <br />(for commercia work <br />US'c GF 6UILDZNG S F/�- <br />NOTE: WAC 296-46-140 reauires that plans for zlectrical work at educational, <br />institutional or h=alth care facilities be approveC by the State of <br />Washington. Applicants with such jobs �;.ust show the State-approved plans <br />before a City of Ever=tt permit will be �ssued. <br />WORK TO BE DONE: <br />SIGNEJ : �� /� ��.D DATE S'i/�/C� 9 <br />, , <br />NOTES AND CCMMENTS: <br />