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CITY OF EVE'�+ E�i' <br /> oA�: � a�- �e _ — <br /> FEc: �� <br /> ELECTRICAL WIRING PERMIT APP►SCATION <br /> ��� ..n%1fc1 G'� � lJ-P/G�7 <br /> JOB A�ORE55 ` <br /> TE�RNT �V <br /> PROP�TY OWNER __ ,�A""', �L <br /> ' �G �11/G —�� <br /> �ECTRICAL CONTRACTOR � . <br /> LT_��NSE N0. L�D �GC� /�'1 G1 — <br /> E;cp?RA7iCN DA� _ — <br /> Q D_ .i�. PH�NE N�. ,�S�L _ CS// �j — <br /> ACMINISIRATCR �= '% "' <br /> .� (do not include taxes) <br /> VP�UE OF WORK <br /> (Por corrmercia wor�cl <br /> USc OF BUILDING � <br /> institutional or health care facilities be approved by the State oP <br /> �.rpTE; hAC 296-46-140 requires that plans for electrical work at Io dip�ns <br /> bePora a�City AoP Everett pe^nituwill be issued Show tne State-�p <br /> WCRK TO BE DONE: <br /> .Gc n� OR7E ---- - - - <br /> SIGUED : — . <br /> . U --�-_. <br /> N4�5 pf•D COMM�IT . <br /> 6i10/87 <br /> l��au <br />