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u <br />CITY OF Et/ERETT , <br />gygCTgICAa '4IRING PERMIT APPLICATION <br />JOB ADDRESS <br />TEPIANT <br />YROPERTY OWNER � <br />ELECTRICAL CONTRACTOR <br />CONTRACfOR'S ADDRESS <br />LICENSE N0. �Vl,���� � II ��� <br />ADMINISTRATOA � 1/�,Ai /V1Q-u��'�` - <br />,.--. DATE " b� ! O <br />41 �i <br />FEE � _ <br />C� <br />ZIP <br />. . EJ�TRATION DATE �v' l I <br />PHONE N0. �7 �` Y � ��_ <br />VALUE OF WORK (do not include taxes) <br />(for co�erical work) <br />.�-, c� I �-• _ .. <br />USE OF BUILDING � � ��� � ""' � <br />NOTE: WAC 296-46-140 raquires that plans for elactri=oved by theeStateiofaWashinqton. <br />inatitutional oz health care facilitiea be aPP roved plans befora a City <br />Applicants with such jobs must ahow the State app <br />cf Everntt pexmit will be isaued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WpRK TO BE DONE: <br />C <br />�{� L) C� <br />SIGNED: `� �,w i"/ !n i � �Q_y IiATk'.: 7 ��0� �— <br />� <br />3/27/90 <br />