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i <br />���1 <br /> ;:�� <br /> ,:»;t; <br /> :, � � ,<. <br /> r; csrx oF �xEx�r ; ' nnxE 3 ;��' <br /> � "�" <br /> �';, ,.. xr, <br /> • ELECTRSCAL WIRZNG PEAMIT APPLICATION . FEE �J�I, �U j 'a�p3 <br /> 'i� • � <br /> :. I:� <br /> ;. <br /> �.:, Joe nnn�ss . �3 a o 3 C✓ �A .r �,�o .�o - ��0 6 �`,Z5 7 + �-'*_ <br /> �:: <br /> — _ _ t�, <br /> TENANT >.� <br /> PAOPERTY OWNFR _ %� <br /> . � �oe� i.vG �CG . <br /> ELECfAICAL CONTRACTOR ��.tt��t1 �1c�t'}ric Cn � '�nC �,�," <br /> q+�: <br /> CGN2AAC1`OR'S ]1DDAESS (nIS RC�'�'�` �tfrP� .l �'L7�Ro�}.� G�gzO ' <br /> CITY � yjp ; . `"�. <br />� ' � ♦7,� <br /> . LICEHSE N0. �Dl.\I�TOEC�c'S1 P3 EXPTRATION DATE � /� 9/ � <br /> 11DMINISTRATOR ��r_ (��� S}�� PHONE N0. 3y�-1laOp ` ����' <br /> ` . <br /> VALUfi OF WOAIC ��� <br /> �� � � � 5��� (do not include taxea) � ,�;� <br /> (for eommarical work) g , <br /> r, :, � <br /> �� �;�t1J_. <br /> USE OF BUZLDING (�,(�r-� S',t/����,.� s !,, <br /> � � <br /> NOTEi NAC 296-46-1<0 requiree that plana. for electrical work at educational, ��'; <br /> inetitutional or henith care facilitiea be approved by the State of Washinqton. ,";'y. <br /> Applicanta with euch jobe muat ahow the State approved plana before a City ' ' " <br /> o! Evaratt parmit xill be isaued. ' r�;�.s <br /> , . „� <br /> � ..;�: <br />' NOTE� Wiring in non dwellinqa is requirad to be 1n conduit, h "-^." <br /> . 5 F�`: <br /> i iIORK TO BE DONE: � F� <br />��� • YYlov� �' ►RPr,-�nd� l � ��;b�,a <br /> • � t•;:: <br /> — 's ;.;,:,;T, <br /> : � <br /> . � v,:: <br /> --- ; <br /> , <br /> . . <br /> n F <br /> � � „j;• <br /> � � <br /> , ` 9 �;� <br /> : SIGNED: �.Q�(+_� L�. �1(1� Q Jl /Yl nii( DATEe � � . <br /> � 3�r, <br /> ., ;,, <br /> ti ,j:� <br /> . � :� <br /> iNaj� <br /> . , �� :'Y{i��. <br /> 3/27/90 ' ,F'�!�' <br /> t� ' `,,a„ <br /> '•`;��< <br /> �� <br /> � <br /> �i�; <br /> � <br /> � • ,�': <br /> s i <br /> � .. <br />