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.� . •. <br /> � <br /> ;� <br /> � r,,. <br /> � <br /> ' � f "� <br /> .,.: cisr oF Ev�rr ;° '� ; ) na►:e 3 ' }'' <br /> � ` . ,. � � r'��: <br /> .�• ELECTPICAL WIRING PEAMIT APPLICATION . FEE `J�I� S� � _` <br /> 4 :.� . <br /> ,``� Joe Ano�ss . `3ao 3 �✓ C'AJ �.r/o �D .S'[06 � ��5 � ,�a <br /> TEtiAtiT ' r:;�` <br /> .i�4 <br /> h e��� <br /> PAOPERTY'OWNFR �— o t i.✓6 1 CG . '::�r', <br /> �:� ELECTRICAL CONTAACTOR �uttnt� E1�r�rir n � 'Sr1C ��'• <br /> �:J� . , :�.. <br /> y CONTRACTOA'S ADORESS L�S R[�*� Str`rPt �i�l. . E�x-r��-k-� �1�2.03 `��r <br /> a <br /> p CZTY ZIP <br /> c` <br /> �� LICENSE NO. �,\TCOECa�S1 PJ y`� <br /> , • � E%PTRATION DATE ���3 q I ., <br /> �'� ADMINISTRATOA ��Y- C��r�S'F�r1 PHONE NO. 3�I�-,(aOO � -;`:�;, <br /> � <br /> + � V71LUE OF WORK �' � . ,�jOQ,��' ,do not include taxee) q�'�. <br /> � (tor commerical �rork <br /> J <br /> U6E OF BUZLDING _ �/tu S'N'6t�x-n_T <br /> � NOTEe NAC ]96-46-140 requirea that plana, for electrical wozk at educational, � <br /> � institutional or health care facilitien be a roved <br /> , pp by the State oF Waehinqton. <br /> Applicante aith such jobe must ahow the 6tate approved plana before a Clty ' <br /> of Evarett pezmit will be isaued. <br /> NOTL�: Niring in non dwellinge is required to be in conduit. <br /> . • � <br /> NOIt1C TO BE DONEe . <br /> .� <br /> E <br /> •t�'lovc_ E �e�� �c�clel <br /> . . �� <br /> , <br /> . , <br /> ; <br /> , . <br /> , � <br /> � . <br /> i {�1 �/11 <br />. � , SIGNEDs �� �I /t /I /(` ��OA �1 DATEt y � - � ' <br /> j <br /> } <br /> ' S <br /> � . . <br />``',' 3/Y7/90 ' . <br /> �� i <br /> i, <br /> i s, <br /> ,;�,. <br /> � �{��. <br /> ,, <br /> � ,...�: �l <br /> �- <br /> �,u:s�:, .... _ ,. .. <br />�fT <br /> f�;�- - - - -- <br />