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.� : . ' / �_ �,+ �'n ar <br />CITY �F EVFFtETf �ATE: �1- Y_._ �' : r" <br />. ; <br />E'�CTRICAL WIRING PERMIT APPLICATI�N FE: ,._._. �: <br />�. . <br />. _. . <br />.,.r -,., - <br />: � <br />.,ros �ccRFss ���� — 9� D/' SE �ci• _.. ' <br />TENANT I�2 %i ��-rt �T is--i,h. � l � <br />FROF�TY OWNE� �°'m-� <br />ELECTZICAL CONiRACTOR �= L e��f x�G <br />—t�.� <br />L_TC-�^.IS� N0. �%/7 f=�� �// /%/ �j E(F:RAT�CN '�ATt <br />ACMINIS i nATC� ���� ��,,,,�. �/ FHO�E ��. � f Z- �r �// S <br />� <br />VALUE OF WCRK 1� /jp �L- ido not include taxes) <br />(for ccmmerciai worxl <br />USc OF BUILDING �« ____. <br />NOTc: WAC 2°6-46-140 requires thac plans for electrical work at educ�iional,� <br />instituticnal or health car� Taci��ties be aoproved by tce Stat= or" <br />Wasning�on. Fcolicants with suc`� jcbs mus� snew the State-=_oproved plans <br />ber"ore a City or' Everec� per,nir w'Ll. be issued. <br />'NORK TO BE OONE: <br />SIGN� : �i1/ .�G � � � � OATE <br />P1C i�� AP D CCMME`iTS: � <br />5i LC/37 <br />1?�au <br />