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, <br />;�.. �,. . : �. _ . .; _ <br />y ,_� _ ._ G �� <br />.:in� ,aF e��-r ` . oa�: �_ _ <br />ELECTRIGAL WIRING P�iMIT APPLICRTION �: ,�,/�� <br />_ .: . . .. : �,._ . ' ' <br />JOB ACORESS � rI (.� �- e�bt�/-f�/ K�idS-r �.f 'r <br />TFr�ANT F/!fl>I7� W�ftl�S <br />�o�rr owNR Sfn�.� <br />ELECTRT_CAL CON7RACTOR � f^�y/ ��J�S �'��c� , <br />LIC`.��SC N0. ��"/ C � E(P�ATICN DA� %(� <br />ACML�IS�ATCR �y %,���j F;.-G�E ��. � �--%%%� <br />VALUE OF WCRK (do not include taxes) <br />(Por ccmmercia.L wor;�! — <br />USE OF BUIlDING Y% K�.,/ /� U vS--P <br />NOiE: WAC 2°6-46-140 requires that plans for elec�r'_ca1 work at educational, r <br />institutional or health care faci�+ties be aoproved by the State or' <br />Washington. Apol±cants with such jchs must show the State-aoproved plans <br />berore a City or' Evere'tt pe:^nit w'.tl]. be issued. <br />WORK TD BE DONE: <br />� Y'/., T71v5-f � C:G d <br />SIG�� : TK Gt_�ti ��, i DATE ���g'- � SY <br />NOT�S AP� CGMMEITS: <br />5%1C/37 <br />1?_au <br />, <br />=t � , <br />a �; M.. <br />