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CITY OF EVF3Eil' <br />OATt: /Q � `j - b"j <br />ELEi.TRICAL WIRING FEAMIT APFLICATION F� ; <br />�OB ADCRE55 3�{�4 %ZAc�2�c� <br />TENANT <br />FRCF�TY OWPER �A,(b��- '�a. � <br />ELECTRICAL CONTRACTOR ,�5�,�,Q {�eo�,,,: <br />E'_�C. CONTftACTOR'S MAILING AOCRE:= <br />L3CE��L�..E N0. <br />ACMINISTRATCR <br />EXF:RA-iON DATt <br />PHONE N0. <br />VALUE OF �YORK (cc not incluCe taxes) <br />(`or commercia wo:k <br />USE CF BUILDING <br />NOTc: 'flAC 296-46-�.40 LB�U:L�S i.h2i �7�of15 'o_ �lec._zc�l �Merk dt educational� <br />ins�itutional or he`th ca:e fac±lit'es be approvec by the State or <br />Wzsninoton. Applican�s with such jcbs ��.ust show the �tate-approved plans <br />before a City of Ever=tt pe�mit will Ce issued. <br />'�9GRK TO E` DO�E: <br />SiGNED : ��� DA7E lO 5'-$ j <br />NOTc� ANO CCMMENTS: <br />