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A <br />czn cF e�Eir �arc: /�- z3� r"� <br />ELECTRICAL WIRING PERMIT APPLICATION F�: <br />.�78 ADCRESS C 7 G'C% LJC% /J��/ZL= <br />�NaNr Tl�1�l P�Q�rNs <br />FR(P�TY OWPER �E�i ►M IL U.IFJ2 <br />ELECTRICAL CONTRACTOR KC-N 1�'11L�N��Z <br />E� EC. CONTRACTOR'S MAILING A�CRE:c C�U26 --5�3 ''� S� : Gv -/1�JUK/C� c� GtJl� <br />LiCENSE N0. EXF_RA�i�]N �ATc <br />AOMINISTRATCR �F!ONE N0. ,�'l;��-�4-Ic��j <br />vA�UE OF WORK (Cc not incluae taxes) <br />(foL com(nETcia woiK <br />US'c CF BUILDING RLSj DCN�iA'— <br />�OTc: WAC 296-46-140 reauires th�t plans `o_ elec.rical �Nerk at ecucat:onal, <br />institutional or health care facilities be aoprovec hy the State or ' <br />Washinotor.. Applic;nts with =�r` jobs rusL s�ti�w .*.he State-approvetl plans <br />bePore a City of Ever=*t permit will be issued. <br />'AGRK TO E� DO�: <br />� I— QC(%LC( /�CIr <br />— �� rl�'�%— �UA� , <br />SIGNcD ;���o f� %�"�-- DATE /� Z 3 tl`7 <br />NOTcS ANO CQ�MENTS: <br />