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ciTv aF eiaErr <br />ELECTRIC.7l WIRING PEAMIT APPI..LCATION <br />JOB AODRESS <br />TENANT <br />RtOPERTY OWNFli <br />E1EC7RICAL CONIAACTOR <br />oarE: ��A�N � /`�� <br />�t: � ! :_! <br />�� J ��� S/ `,C �� _ <br />i o,q <br />L_TC�.`!Sc D:O. �/��'G�F� �� �:tPLRATIC� OATE � 3� � I// U <br />ACMINISiRATOR � �,C��'_PHONE N0. � ��'���Y <br />VALUE OF WGRK ��� �o not include taxes) <br />(Por cemmerciai wor;�! <br />USE OF BUIl.OING <br />NOTE: WAC 2�6-46-140 requires that plans for electrical work at educational,� <br />institutional or health care facilities be approved by the Stata or <br />IYashington. Acolicants with suc!� jcbs must show the State-�proved plans <br />CePor� a City oP Eve:ett pe_mit will Ce issued. <br />WORK TO BE DONE: <br />SIGdE7 : j�� DATE �— y r� / <br />MOT'c5 A�D CC��ME�ITS: <br />5/10/'3� <br />1��ai� <br />