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�� � �� oAT�� ,�� �a -� � <br /> ELEi,1RICAL MIRING PE7iMIT APPLICATION F�: <br /> .�8 A�CRE55 7 p o s �� �jr��,,/l �7r,+�t <br /> /' <br /> TENANT <br /> FRG�E4TY OWPER ��.. I�e✓ P/'m.�y`i os <br /> ELECTRICAL CONTRACTOR �[o�„- �✓)q ren i� �"/e oPn'c <br /> e EC. CONTRACTOR'S MAILING ADDRE�: la,3 '7 S /�/ �� _ �!e�r� <br /> .iCENSE N0. .1 O/��Ec�22 3 N` EXF:P.A'ipN DATE �-�-a I <br /> ACMINISTRATffi �b�w /''t�rv�� � PF'ONE N�. � `�,F-/,J.; D <br /> VALUE OF WORK � � ��� (cc ret incluae taxes) <br /> (for commerci�k3 <br /> l'Sc CF BUILDING �e.r�rn,�� - fl�(�„�Q � <br /> NOTc: WAC 296-46-1/+0 :eaui:es that plans `o= el=ctricsl werk at educational, <br /> institutional or health care fac:lities be approvec by the State of <br /> Washinoton. Aoplicants yith such jcbs r..ust show the State-approved plans <br /> hefore a City of Ever=tt pernit will be i<sueC. <br /> �9GRK TO EE DONE: <br /> —1=� �� Do/HQ4G —� . ,� T� f'/oor <br /> :iGUE� c� ��_..._._/ DATE �`fJ/eL'�� <br /> NOT_5 AND CCMMEN75: <br />