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cm aF' �v�ri�rr <br />E1ECIRICRI. WIRING PERMIT APPLICATION <br />� <br />JOB ADDRE55 <br />DATE: � , nn � � � �9�/0 _ <br />�: <br />TENANT <br />PROPRTY OWNR ��e� �� C-� ��! S�e.�2 <br />F1ECiRICAL CONTRACTOR e c <br />r �— „�-e � � � �,� r E::PI,4ATION OATE S - � �- `� � <br />�_C�.`!_� N0. �fl i� <br />ACMINISiRATOK �(�� Q-'-0� l�'1�-. PNONE N0. `��I' ��� 1% <br />VALUE OF WCRK (do not include taxes) <br />(for commerci workl � <br />USE OF BUIl.DING � � vi ��' ��� �- �" - p���� <br />• u � <br />NOTE: WAC 290-46-140 reGuires that plans for electrical work at educatianal, <br />institutional or health care facilit;es be approved by the 3tate of <br />beforeya�City Aof lEver tt pe:nituwill be issued show the SCate-approved plans <br />WORK TD BE DONE: <br />SIGIED : � �� �� e1�C4� ,� _ DATE SS' I�- �I(� <br />MOTES PP� rC!��'E`ITS: <br />5/10/37 <br />1?2°I' <br />