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r�, ` � <br />CITY OF EVFRETT OATE: (,� -�� (} � <br />ELECTRICAL WIRING PERMIT (1PPLICATION FEE: <br />�OB AD�RE55 �'� O b, �- ��17 L � S t Gr/ � <br />�vaNr h� ��-r I�/� L G <br />PROPERIY OWNETi S/�'y,�t <br />EIECTRICAL CONiRACTCR l� F. I'1 lQVI_ �,C FI �' % <br />L=C�?!5� N0. �s/ Lf E:<P�qarzcu earE �O <br />ADMINISTf,ATOR � q✓L �-t yJ � y_ PNONE N0. �,�'J " cJ' �f <br />� <br />VALUE OF WORK (do no} include taxes) <br />(for commercial worx) <br />USE OF BUILDING � r�r�/ /Tljv}�( <br />NOTE: WAC 296-46-140 requir=_s that plans for electrical work at educational,� <br />institutional or health care faciLties be approved by the State of <br />Washington. Aoolicants with such jebs must show the State-approved plans <br />before a City oT Ever=tt pe^nit will be issued. <br />WORK TO BE �ONE: <br />V1��PQ � �d0 /�Vl'U� <br />SIG�ED : �� ��h°�1�- DATc Si �� n�iY <br />MOTcS AP10 CGMMEE�lTS: <br />5/10/'7 <br />1^-�2H <br />