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ciTr aF e�a�-r DATE: ��/ — y� � j� <br /> ELECTRICAL MIRING PERMIT APPLICATION F�: <br /> � <br /> JOB A�CRESS _ � �p�� /ljv� �� <br /> TENANT <br /> PRCFEFtTY OWPER � �,n/ <br /> 0.ECTRICAL CONTRACTCR �/jLJl13v/�V Q � G <br /> �EC. CONTRACTOR'S MAILING ADDRE=� ���� '� ��"� �.y� <br /> LICENSE N0. /L-/L ' '� /s3 /G� E�rRpriON DATE _lZ/.30��Q <br /> ACMINISTRATCR ��/I�/�`^� PF'ONE Iv'C. �.J '!�'����/ <br /> VALUE OF WORK (Cc not incl�de taxes) <br /> (for commercia work � <br /> USc GF BUILDING �Vjl� �i/�L�- , <br /> I <br /> I <br /> NOTE: WAC 296-46-140 reauires that plans fo_ elect:ic�_ werk at educational, <br /> institutional or health care facilities he approveC by the State of <br /> Washington. Applicants with such jobs �;.ust show the State-approved plans <br /> before a City of Ever=tt pezmit will Ce i=_sued. <br /> WGRK TO EE DONE: <br /> C I����s ,�� � �� , <br /> SIGN� : ��� G�/!.(�(i��/1✓L� DATE �� � �� d � ! <br /> NOTcS AND CCMDIENTS: � <br /> i <br /> ,� <br />