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��n � �� DA��• Ir, - i � -S�`j <br /> ELECTRICAL WIRING FERMIT APPLICATI04 F�: <br /> �B ADCRESS ��� �/ I���-�i Fr,C <br /> TENANT P I�- l:� (> �i IJ Tl H L � , � <br /> -�.-�C � <br /> FRCPERTY OW�ER _?rc�� r 2 i ,� � r�n w� <br /> ELECTRICAL CONTRACTOR � /��I,I= <br /> E!EC. CONTRPCTGR'S MAIL'ING ADDRE:� <br /> L=�hLSE N0. EXF_.R?.'i0N DATt <br /> ACMINISTRATq� PNONE N0, o�,J��a'� <br /> VALUE OF WORK ���� � �� (cc not incluae taxes) <br /> 1`or CommerCi�. work) <br /> USc GF BUILDING b L F i c rz S �/�C-/' _ <br /> N�Tc: WAC 296-46-140 LB�UlIES �h2� a.Lal'15 r0= ?�?CLS_Co'1 'NC2k at E�LCe�lOfld�� <br /> institutional or health care facilities be =FPro �ec by �he State or <br /> Wzshinaton. Acplicsnts with such jobs �;�st show the State-approved plans <br /> before a City of Ever=tt pe:mit will Ce ±=sued. <br /> '�9GRK 70 B� DOt�: <br /> 2 i� L o c� f,� � i c�L�,Ci x �urzi��' <br /> � <br /> -�— s r,�� �7�1� <br /> /�-�� i� (� u� L�l�i�' <br /> SIGNED : / � DATE �— ��-- �� <br /> NOTcS AND C MMENTS: <br />