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CITY OF EVII2EZT <br />Fr.FrmaT�p,�, WIRIfIG p�NIIT APPLICATION <br />Jos r.�r�ss S/ v 3 �� Q <br />a�i� � Z � 5 � 5 <br />FEE � � . <br />`/r�-� ��-✓ <br />�rr P F � ,� ��' �. � <br />PF�PEKPY 0.�1`]ER � � � � <br />Er�crxzc� wrrr�crox (�J u�� i—aR �J � ��` �;�� � <br />NNi'RACNR' S ADDRESS Pv (� �'� 7 3)� F_J- � B� Z c� <br />Ltc�r�ss r�o. C�o � n �-� �S 3 X'� i EXPIRAT2�'V Dl�'�'F <br />AI��II^l2STRA_'rUR ,�C� ��W `J �� t�1L� PHObiR CA. � SZ — ST�YY <br />VALUE pF �,pgK (do not include ta.Yes) <br />(for campscial �.ork) <br />USE OF BUILDIPIG N U p L� x <br />NOTE: S�41C 296-46-140 *�,;res that plans for electrical work at eclucational, <br />insYitutional or health care facilities be apnroved by the State of <br />S+Tashington. rlpplicants with such jobs �ca�st shv,a the State aoproveci <br />plans before a City of Etmsett permit will be issued. <br />DxJTE: [+liring in non chvellings is required tn be in condui.t. <br />4�RK 'IO BE DONE: <br />c� c� �, P <br />i 2. <br />SIG!dED: <br />12/].5/89 <br />fJuP �; x S %�/z���-c <br />� <br />�� r2/� %�� <br />�U <br />i <br />