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�>H <br />��H <br />� � rn <br />� �s <br />�H� <br />� H '�J <br />f/� H <br />� O t+] <br />H C7 <br />H [+] O <br />� � �7 <br />ay� <br />r z <br />t-+ H <br />g�' <br />H <br />nGm <br />��� <br />�3 O C/� <br />Pw � <br />a,>. � <br />s"m " <br />r �,! <br />�..,,�l� <br />CITY OF EVF72ETi <br />�lEC1RICAL PIIRING PERMIT APPLSCATION <br />DATE: <br />��5= � <br />Q� - - LU <br />FEE:+��'� � <br />i �1 <br />T a 1� .��� w� l� f���� <br />J03 F;DDRESS �! � a �? <br />TEM,�PiT ��il�r h� 1/ I� � C�r�'�' <br />J <br />;�I)PERTY OWNER _ J�S ' '� � � i' � �; � � �h � ^ , Ta�- �o � o <br />EIECTRICG.L CONiRFiCTOR � (�_ I A �GS � Cc �� � �ItLL — <br />LICENSE �',0. �EA�E� Z��� C�_ EXPIRATION DATE �n/o5 ��r � <br />ACMINISIF.ATOR J�.p Pi10NE N0. ;��1� 3ZV Z <br />VALUE OF ti'IORK (do not include taxes) <br />(for comnercia work <br />us� oF euz�ozr�c <br />NOTE: YIAC 296•-46-140 reauires that plans for electrical work at educetional, <br />institutional o* health care r'acilities be approved by the State of <br />1lushington. Applicants with such jobs must show the State-approved plans <br />be`ore a`lity of Evetett perm=t wi11 be issued. <br />'rIC?.K TU 6E �ONE: <br />�� <br />o e. I t�Cl i/ ICI f. J 60 <br />SIGNED : _�: �' " u�-- /L, rD DATE <br />NOTES AND COMMENTS: <br />6/10/f37 <br />152pH <br />F% <br />