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. .s.: <br /> CITY OF EVEFiETT ll1,TC '") - I�(� �Q� <br /> oy <br /> 6LGCTRICAL WIRING PERIdI7' nl'PI.ICATIOR F66�__ <br /> �H�� ` <br /> ��7 JOD ADDRESS c�aa� d� J� � C' �� �� <br /> ��x <br /> C H <br /> ��� T6NANT <br /> K �n PROPGRTY OWNER �pSS��e.-1 o G!C �C 101� <br /> H� <br /> 'i7 �� ELECTRICnL CONTRACTOR I C CI�CC��C�C- �11C-- �i— <br /> xz� COt�'PFL�CI'012'S I+DDRESS � �aQ� �&a`'� S� N t �� �����J 1�5(J <br /> � H�G <br /> CITY ZIP <br /> � n <br /> ��� LICIiHSI ��o. 1 C -LL1 �l l Cl CaC_. EXPIRATION DATE � �_ <br /> y y� nDMINISTRt�TOR �y Cc SU� F'IIOI�G ti0. l '1`i ^J I O9 <br /> t� <br /> r�H <br /> C7 V� VN.VE OF WOR}: (do not include taxes) <br /> nG Cc,� (for commerical work) l <br /> Zy� USE OF DUILDING �`eSlc�C�L <br /> H O Ca <br /> t;0�ec: I�U,C 296-4G-1A0 requices that plans for elecCrical work at educational, <br /> insCitutional or healCh care Lacilities be approved by Che SCaCe oC washington. <br /> ���-�plicants wi:h such jobs must show t:he State approved ��lans Uefore a City <br /> oC EvereCc permit will be issued. <br /> I10TE: t:iriny in non d�:��llinq�; i�, i ���auii�"I t,� 1." iu ccnduif.. <br /> '� � <br /> �f <br /> WORk 7'O AC: DOtii:: <br /> f� �' � _��.r�_���-� \CS\<\cY�L C� <br /> 1 — <br /> _\'_—_'_--____ ---_-- <br /> ��� �`('c� . S �<�IC ` <br /> �+.� <br /> �. � _ - <br /> ��Q~� <br /> .� q �! .� SIGNGD: ��� .�-•—�_ _ DA9'fi: _�[L)I L <br /> �� � <br /> �'� <br /> . . 3/?7/90 <br /> t <br />