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cirr oF �aErr ,- oa�: �� r� .. ' -&Y <br /> ELECTAiCAL WIRING PERMIT APPLICATION FEE: <br /> J�B {100RE55 �� GI �OO �y S / S'� <br /> TENANT ����cw P ��+�'rP C <br /> PROPfrITY OWNER �1��7'oH r /�m��PP <br /> ELECTRICAL :ONTAACTOR r � ic /��- El«'�i — <br /> � LIC-r^iJSE N0. LN1ie',C�'/r/Y> A'1 E:<P?RATIGN OATc <br /> c�c�+nvisTaaroa /S-// L d �oNE r�o. �3`�> 9 3s� <br /> VALUE OF WOFiK � Z�� �J (do not include taxes) <br /> (tor canmerciai wark <br /> USE OF BUIl.DIN(i � ��r�� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutianal or health care tacilities be apptoved by the State of <br /> before a�Clty Aof lE erett permituwill be issued show the State-approved plans <br /> WORK TO BE OONE: <br /> /� ��( 7" P x/'S�••�r �� . /c�.�., <br /> 1� r * G7i! O / <br /> , ��/ � ' "" DATE 9' ��-�� <br /> SIG�JEJ 'Gl�.�_ '��^ - <br /> NpTcS AP�` CCMMEITS: <br /> ., _..'?' <br /> �����a <br />