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CITY OF EVEREII <br />ELECTRICAL WIRING PERMIT APPLICATION <br />.;OB ACCRESS <br />TENANT _ Nr <br />FRCPERTY OWNER �J S <br />ELECTRICAL CONTRACTCRd�_ <br />ELEC. CONTRACTOR'S MAILING ACCRES: <br />LICENSE NO. S I DS ^ T 0 <br />ACMINISTRATCR C�rq P (1 c <br />DATE: <br />f F =: <br />EXPIRATION DATE <br />VALUE OF WCRK (Go not incluee taxes) <br />(for ccmmzrciai WarK) <br />USE Cr- BUILDING <br />e- <br />NOTE: WAC 296-46-140 recuires that plans for electrical work at educational <br />'-nstitutional Or health care facilities be appr Ovec by the State of <br />Washinoton. Applicants with such jcbs must show the State-aoproved plans <br />before a City of EveTe_r permit will be issued. <br />WORK TO BE DONE: <br />no <br />I'll t—, Y- <br />SIGNED I/U DATE U �� <br />NOTES AND CCMME, S: <br />