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,—. . <br /> ciTr oF �zErr oar: y�/S/g 9 <br /> ELECTRICAL WIRING PEAMIT APPLICATION F�c• <br /> JOB ADDRESS oZ s 5 � !- /r1>�- .S T (�( �� � � � <br /> TENANT V 1��= 44'vIJT <br /> PROPERTY OWI�R I�12Yj l`�7n fS� <br /> ELECTRICAL CONTRACTOR � 'B • ��e�f�' / C • <br /> ELEC. CONTRACTOR'S MAILING ADDRE�;, _ S�UQt2p�. <br /> LICEPLSE N0. I�Q C'- �-EL /G �{ N � EXFT_RA'ION DATE __ S �/�/ 9O <br /> ADMINISTRATCR ,D(ll�� YvL� S (,�-�LQ PHONE N0. 3� i-/ — .38'�/c/ <br /> VPLUE OF WORK 6�� (Co not include taxes) <br /> (for commercia work <br /> USc OF BUILDING � ��• <br /> NOTE: WAC 296-46-140 reouires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washinoton. Applicants with such jobs �;.ust show the State-approved plans <br /> before a City of Ever=tt permit will be �ssued. <br /> WORK TO BE DOI�E: <br /> � <br /> �� w� R � � !�T C <br /> 53GNED : 1� ��1�. DATE �/�S�/g 9, <br /> NOTES AND COMMENTS: <br />