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S C 'T7 <br />lT1 C7 <br />aN <br />,oxx <br />� H <br />ay�n <br />H �� <br />y �. H <br />",,� <br />°�7 <br />�-? � C' <br />oH0 <br />H C�1 O <br />(�] V �] <br />9 H� <br />r z <br />HH <br />g`� <br />H <br />C�]+ C❑) f/� <br />^g t�1 C <br />tv p9 <br />H O ��/+ <br />'�. +.. <br />�m � <br />`e � <br />� � <br />CITY OF EV�RETT <br />:� <br />ELECTRIGIL WIRING PERI�LiT e1PPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />' � /,. <br />DATE 7 L � 1 <br />FEE � , � `� _ <br />�r`ii)/_ � „ --1�.,.� li� � ,)% . 3S3 —�%ZX�"�= <br />�:.ECTRZC.AL CONTRACTOR �,C ��` �� r� �� y�V C.- <br />CONTRACTOR'S rw�xsss I( L � l Z�- TI�{- I-�'UL I�IE I(m�R u i,t=1N7� �'lo�'�`/ <br />L:CENSE NO. �7 I � A�/O L'� IC� I V� � E}CPTRATION DATE �'i I�� � <br />AD2-IZNISTRATOA �7F"rk� /V�Si)N ?'EiONE NO. . �i�J 1 � I Z�J � <br />VALUE OF kORK 1� ! S•�� (10 not include taxes) <br />(£or commerical wozk) <br />t)� -.-.� , -r �-' � W ELL � /JE� <br />• USE OP BUILDZNG N 11%i �- <br />I NOTE: WAC 2°6-46-140 requires thar. plans for electrical wozk at ed.ucational, <br />institutional oz health care facilities be aopzc'�ed by the State of Washington. <br />�� Applicants with such jobs must show the State approved plans beiore a City <br />of Evezett pezmit will be issved. � <br />NOTE: Wiring in non dwPllings is required to he in conduit. <br />WORK TO BE DONE: <br />� � `J <br />� _ <br />q <br />�`�'^r � i '- � ; '�' . ' ;' .-- �; il <br />�� � �'' f i l.. � /,. DATE: , �. , � �.� <br />SIGidED: �� ��I �f='�/ � ��,��_� �� -�%J�- <br />+m � � <br />3/27/90 <br />