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i <br />CITY OF EVF3iETT � DATE: � <br />ELECTRICAL WIAING PG3h1IT APPLICATION <br />r: �r�• <br />FEE: <br />L /,v`� SAiT�S �?� <br />�T �Ap26�FNS 3oa�� d-��BL�' <br />FROPERTY OWt�1r (�r'�`iL-ti�%-�nc�c QLA2Jj <br />ELECTRICAL CONiRACTOFi� �i �'n` r ��E�/� ' 7�� - <br />�I�E �,p. ��n.2H A1 C 3Sz1 Oc EXPIRATION DATE Z�28r9 a- <br />ADMINIS'fRATOfi E ///R�Q-+� �ONE N0. �76 -g�s <br />J <br />V�� � W� (��gp ° (do not include taxes) <br />(for'commercia wark - <br />USE OF BUILDING O M E2�-' �A'�- � <br />hp7E: WAC 29G-4G-140 requires that plans for electrical work at educaticnal, <br />institutional or health care facilitics bc approvcd by the State of <br />before9a�CityAof C erett permit will bc issued Show thc State-approved plans <br />pORK TO BE DONE: <br />N 0► o <br />SIGPED : V """ "•�� OATE O • �$ � <br />NOTES AW COMNENTS: . <br />6/10/07 <br />1928H <br />