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��� <br />��x <br />C, H <br />�HN <br />H�H <br />tC C] <br />O�O <br />'i1 H �i1 <br />CA H <br />L�1 O � <br />H l7 <br />O«�H�y <br />Ht�+1Q <br />C�] � CC� <br />�Ht�J <br />�y <br />gd� <br />� � t=1 <br />xr7cn <br />HOCn <br />CITY OF EVERiTT <br />ELECTRICAL WIRING PERMIT APPLZCATION <br />DATE � / 1 JCL 9O <br />FEE .���'� <br />,aB ADDRE55 3� 2 2 �on�i8 ��P.D ,4 v� <br />TENANT r .��,V ` /`'�CD�_ - <br />PROPERTY OWNER <br />{��}I U P S, c 2oa �vt an� Don�n/1} � s c o-�T <br />7�.@/�{I ��,�_l.7�f— CCc/.r/E �' — <br />ELECTRICAI. CONTRACTOR <br />CONTHI�CTOR'S ADDRF.SS <br />LICENSE N0. <br />AD6ISNISTRATOR <br />VALUE OF WORK <br />CEot commetical <br />CITY ZIP <br />EXPTRIITION DATE ' . <br />PHONE NO. 7� Z— D L%� <br />(do not include taxesl <br />USE OF BUILDING /`�_�I1)��J �-- �r� <br />NOTE: WAC 296-46-140 zequires that plans for electrical work at educational, <br />it�stitutional or health �:are facilities be approved by the State of Washington. <br />Applicants with such jobs must show the State approved plans before a City <br />of Evezett pezmit will be issued. <br />NOTE: Wiring in non dwellings is required to be in condui:,. <br />"v70RK TO BE DONE: <br />n1F�„� �so <br />�u'V`� <br />. � � v �, � DATE: _�� /ll � <br />SIGNED: <br />3/27/90 <br />