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,.. . . ., , ._.. . .., ., . . . <br /> ,,. ._ . .�. ., DATE �O T� <br /> CITY OF EVERHTT ���vfi <br /> FEE <br /> ELECTRICAL WIF.iNG P6RI3IT APPLICATIOId <br /> �zj�riy� JOD ADDAE55 �C �x� L7�JL0.uc\ �C��'dE' '- ! <br /> 'H <br /> C�H TENANT � <br /> 9�-3 CA <br /> N �� PitOPERTY OI+fNER �6u <br /> � ` s G/� �7 <br /> C 5 O LLECTRICAL CONTRACTOR r � � �,� <br /> �/7 � ��o��' r i <br /> �-? �C COI�TS2I�CTOR'S i.DDFf:SS �� al�� K��� . �T� � ZIP <br /> 523 � <br /> :7 O tY <br /> H C7 // <br /> H �C7 LZCE::SE NO. � ��'/-' %p5�'��� EXPTRATION DATE �� t� � -�� <br /> O � _ -�� -���� <br /> �� � /'�L n��/` PIIONE NO. � <br /> �"� ADMINISTRATOR L f' <br /> VALUE OF WORK __.__. (.:�� :�.ot includc t�.a:<e�) <br /> M <br /> ta" H y _ _ <br /> � y (for commerical work) <br /> H <br /> c� 7�n <br /> 3 LT7C USE OF BUILDII�G '�'� -- ---� -- - - <br /> ZH c�/� <br /> HO[n ;;07^..: �i�+C 296-46-140 requires that pleins for eleccrical wuiL ac c-lurational.. <br /> in:;tit�tional or health caie facilicies be approved 1:/ tiie =;tate of 47ashinyton. <br /> „I;plican:s with such jobs musC show the State approve�l pl,-�n:: before a City <br /> of EvecetC permit will be issued. <br /> No�Cti: Wiring in non dwellings is required to be in condait. <br /> � � . <br /> �� 190RK TO BE DONE: // �y,.�- � <br /> � .1/n'// '�/ 0'GJ C) 1�1_f�51L1�� 7SKY')� S�'i- / %' - <br /> �a �� I .._ . <br /> _� _��-�e �� r�_ �,Y�-'� <br /> o�. _ �( /'�P�.`� �`r `�c�c� U���'�S '�C3 't�_���P�. , <br /> ._,! <br /> ,. ._.._ �' � , `7 30 �4' — <br /> `/�f,� � / �ATG: / <br /> �e'>' I SIGNGD: /:Lv '.�_• � ( �—<z�__ '___- -_-__—_. -- - / <br /> �� T /. <br /> � � <br /> �� � <br /> _ 3/%'-7/90 <br />