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cin oF �Err <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRE55 <br />TENANT <br />filOPr."RTY OWNE�i <br />oarE: s%6 / � I <br />� rI C(�. lJ L I� I'� J� l l� � (� 1�� <br />�;��'I�•/ r, C��'T�/v <br />� c� <br />FEE: <br />FIECTRICAL CONIRACTOR Tf:) r) � i: L t GT �! --_ <br />LICENSE N0. 11- �) T L 1��� l') ��ATToN oA� ; ij3c Jy � <br />ACMINIS7RATOR C•:.-,.; . �- /' �e t��.n 1, FHONE NU. % 7 7 v ��j C% � <br />' r t' <br />VFLUE OF WGRK �'< C(� (do not include taxes) <br />(fcr commerc.iTwork � � , <br />u_� e� E�..��! r�_r;� <br />' l i� F' �1 % C� F� — � <br />h�TE: WAC 296-4c-1�� reGuires th�t plans for electrical work at educational, <br />institutienal c: health carP fscilities be approved by the .State o� <br />Ivashin�ten. F.�lic�nts with =.uch jebs must shcN tte State-=cpreved plans <br />Ce`er� � Ci:,� cf Eve:et: pe^ait will L� issued. <br />4�CnK TO �E GOI:E: <br />� / /� <br />� �' I r^ � <br />�C - 1'`�iC '.. ��' � � i i� �" . �C- t <br />r � <br />���..TI�i)>>G<' �l�f�`Dt,�,T F1rr'D c.v,��il� <br />� f,; �i� f�-��CU�_� "�r�t_ C D �'l� � <br />�•,• � <br />r—'T <br />� <br />�_�., `,`� _ ' ,��'.. DAIL _�� - �. / <br />I:"�T�S F�:] CG,",F]J75: <br />�,". =. ° � <br />lc`�-: <br />i� i�'C�unT�� <br />