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CITY .�,r� E1rErtEi , <br />EIECTRICFL WIRING PERMIT APPLICATION <br />.X78 ADCRESS O� <br />TENANT C � <br />FRCPE�TY �iYPER � <br />ELECTRICAL CONTRACTOR <br />7D0 � <br />"�'EC. CONTRACTCR'S MAI <br />I.=CENSE N0. <br />ACMINISTRATCR <br />DATc: �O — � - �� <br />F`, <br />F�EC %EC- /60 T EXF_RA.-i�N DATE /Z -�d -- 5v <br />�OiCB�'/ /o�a.CiC�4� PHONE h'�. %7 $' o S � S <br />VALUc OF WORK (cc not incluce taxes) <br />(for commer�ia work <br />USc GF BUILDING ��U <br />�A <br />iV�TC: i'�{iC 296-46-1L0 i?pU1IB5 ul'et f7�af1S r0_ A�?Ci.�1Ce! 'h�iiC 2t EuUC2�1C71d_� <br />institutional or hezlth care facilities he ;pprovec h�- the State o� <br />Washington. Appiicants �xith such jobs �;.ust show the State-aoproved plans <br />before a City of Ever=tt pernit will he _rued. <br />t9GRK TO EE DO�: <br />SIG�V� : Q-'L GL� O%/l.. DATE (� <br />�� — .S - tc � <br />'JOTES ANO CCMMENTS: <br />