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CITY GF EVEREfT oa�t: <br />E1E�TRICAL WIRING PERMIT APPLICATION <br />( / � � � � � �� <br />�,� <br />F�=. ,� <br />�B ACCRESS '� � �� � �' � ') ' ' . � ' <br />iENANT <br />FRGPERTY OWPER �_',�, i� �J-<• tii ,,t�� �_ <<� �'�l <br />ELECTRiCAL CONTRACTOR �-e , 1 � �(I ,. � <br />E!_EC. CONTRACT�R' S MAILING ADCRE�fi _ -� �-L' I � � '; �J � ) /� •„ , �'1 � � � , �.� <br />T <br />LiCENSE N0. EXi-:R?'i�N DAT� <br />ACMINISTRATCR ��, y�rc.lY�' � C� PHONE N0. ���7 7 i,� 2_ 6 <br />� <br />VALUE OF WGRK (cc not ±ncluae taxes) <br />(for commercia work <br />USc CF BUiLDING � <' _-; � ,�� - <br />NGTE: '+�AC 296-46-140 :eouir=s that plans fo_ �lect:ical werk at educational, <br />institutional or health care fac:lities be approvec by the State of <br />Washinaton. Applicants with such jobs -ust show the Sta[e-aoproved plans <br />Cefore a City of Ever=tt pe_mit will �e ==sued. <br />',VCRK TO E� DOt�: <br />1 <br />S:GNED : �� <br />NOTcS AND CCMMENTS; <br />/ � tI �1 '> . �' ' <br />' <br />� � r �, '�' �� <br />. f �1�j !� / ) �-� �� L, ti i ` � � " ( � <br />' ; � �c '.� /�l /_� O F .J� /v l �� < ti/ c. ,1 <br />l� �� ,��; << �� l� �-'' F f" �' �" 7 s T/, <br />� i - i <br />DATE <br />�' . � ��.� i �, � <br />�.� 1'' � l . 1 <br />�� - s <br />�.: <br />