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�v„ <br />� <br />CITY OF EVE�ETT <br />ELECTRIC,'�L WIRING PERMIT AFPLICRTION <br />JOB ACOREiS <br />iENANT <br />PROFRTY OWNE�2 <br />� <br />oa�: 1 /�-iv - /,5' r `� ,..� <br />� 1�� I�19�.L r 5 O�t� <br />� .•u <br />Fe�: / <br />ELECTrtICAI CONIRACTOR �ii��E7 tr - <br />LiC�'J�E �:�. <br />ADNINISTRATCR <br />E:<P_TPATZC� DATc <br />- � � �i� � � � � <br />VALUE OF WCRK (do not include taxes) <br />(for ccmmercial work! <br />USc OF EUTIDING S-�" <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational,�' <br />institutional or health care fac'_�±ties be aoproved by the State of <br />Washirgton. Apolicants with such jccs must show the St>te-anproved plans <br />Ce*ore a City oP Ever=tt pe^nit will be issued. <br />WORK TO BE OONE: <br />�. /�G�e ) /ii <br />5/LC/37 <br />1�_ou <br />oar� /-/�-�'9 — <br />; <br />