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� :.� <br /> CI�Y OF ENERETT DATE1 d ( ' ( � <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE� <br /> Joe r,o�xess . �Q� /�,Io /,���R-Q <br /> TEYANT <br /> PROPERTY OWNER <br /> ELECTRICAL CONTRACTOR ��.y-�--�'- <br /> CONTRACTOR'S ADDRESS Y Q R�'X �JS 6� /�h�l/�iL��� �/�b� / /AD / � - <br /> LICENSE N0. ���Aa9r�_'i� EXPSRIITION DATE � /57'"�Ii_ <br /> ADMINISTRATOR PHONE N0. �/r5 ,'J��� <br /> ry o�7 <br /> t•ALUE OF WORK _ ,�`���� (do not include taxes) <br /> (for commerical wor.k) <br /> USE OF BUILDING <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> • inatitutional or health care facilities be approved by the State of Washington. <br /> Applicants with euch jobs must show the State approved plans before a City <br /> of Evezett pezmit will Ue issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> ���U[0 / D I /3.Q� /�P.Q. / �D� /.�lJ'�I(/-'!i <br /> SIGNED: DATE: ����_l � <br /> ` � <br /> , .._ .�.�. . ,. ,-,. . . ,. . , . -.-T-. .. �,.,....,,,�,�,... � . . .. . ...,,... -. ...,,...� � „ . . ,. . , .- . � � , .•� .,�� ., ..... ..� <br />