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f <br /> ��� <br /> H <br /> C' Hp� <br /> k�� <br /> `ii� �'�d � , <br /> � � <br /> yx ' <br /> o� d � .i <br /> ��g � ' <br /> nj Y �] <br /> N (�' <br /> H DATE �G�� <br /> 'Z H .: <br /> � N H � CITY O£ EVERE'=T �' O✓_. <br /> ��y �„� � FEE � <br /> �� ;_� ELECTRICAL WIRING PERbLLT APPLICATION <br /> H O� �' al O�� �.1 � 2i� �� � "rl � ��� <br /> fyA SOB ADDRESS <br /> 4 • <br /> TENANT <br /> �=3 PROPEA2Y OWNER t � r <br /> `� ELECfRZCAL CONTRACTOR �C 2�7G� � � = T2SC/ 9�o7a <br /> �:i � ) <br /> �' 2 Gt/UOC1�-Ui/�LG� <br /> '.f` CONTRACTOR'S ADDRESS � � UO II�G CITY ZIP <br /> _.� <br /> � �^ a <br /> � LICENSE NO- r�L��'N`� C��'L�� EXPiRATZON DATE � <br /> -` � PHONE N0. S� J � <br /> � ADMZNISTRA'LOFt � %) � <br /> c �/� �/ <br /> '_1 .��- _____-S�v ��� (do not include taxes) <br /> ;� VALUE OF WORK <br /> ' f �? . (for commerical work) <br /> � ., <br /> -�U USE OF BUZLDING � 5 St i7S t1< E <br /> / 1 >; <br /> ' �� Npq�g; WAC 296-46-140 requires that plans for electrical work at educational, <br /> '� ,y institutional or health care facilities be aporoved by the State of Washington. <br /> 1 � ' Applicants with such jobs must show the State approved plans beiore a City <br /> ;! of Evesett peLm�t Will be issued. <br /> ' NOTE: [Viring in non dwellings is seauired to be in conduit. <br /> � ' - WORr TO BE DONE: <br /> � _ � / l � �� c �� � i-��c � 7 �/� /' � o., <br /> 0 �� <br /> � <br /> a' :.'. <br /> (.'-. <br /> � y <br /> � <br /> ..S <br /> '�' n <br /> � �//i� ���I��C« '."_ DATE: /C� ' / ' i��_— <br /> % f"WCG�.�- <br /> . .. SIGNED: il�� . <br />