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CITY OF EVEFtETT ;' � DATE .� % <br /> �. <br /> ELECTRIGIL WIAING PER27IT APPLIGITZON . . FEE _ � ` �� L <br /> r <br /> H O H 70B ADDRE55 - ( 1� � L� / - 1 �' I�� � �_ . • <br /> .O�5 TENANT N �F.(.1.�. (�,., c � <br /> C H <br /> H`y3� PROPERTY OWNER � �-F' �� I- (' �� <br /> 3 ZH I �I , /� <br /> '� y� ELECfR2GL COtJTRACfOR � C� S �� L'i � I C C I- I� �� ' <br /> �l �7 r!�'`� �)��� ��I_= y'}1 ����is����1e 9,��7� <br /> � C~i�H CONTHiiCTOR'S ADDAESS ! / �L�• ) (.) �'�"�)� � <br /> y C CITX ZIP <br /> pyd LZCENSE N0. �II��C�� I�I �� EXPI:LITZON DATE � I� l�� <br /> � �g❑ � �' � l '� � �,(��l�2'.���- axaxs No. l� 5 �l— Ci J � / <br /> 47� O r1DMINZSTRP.TOR � � <br /> ZH3 <br /> r '�z VAI.UE OF WORY. (do not include taxes) <br /> r+H (for commerical wo=k) <br /> �' 1 <br /> ~ � � �� <br /> � �� USE OF BUIL�ING >�{' Cf��k � � � � ' <br /> [�7 <br /> z y y t70TE: W�C 296--0fi-140 requires that plans for electrical work at educationxl, <br /> "� �� institutional oz health caze facilities be approved by the .;tate of Washington. <br /> Apclicants with s�ch jobs e�ust sho•a t4e State aporoved plans before a City <br /> of Evezett Per.nit wi.11 be issued. � <br /> i70TE: Wiring in non dwellings is reqUi:ed to �e in condui�. <br /> '�` �' WORK TO BE DONE: <br /> 9� � <br /> � <br /> (1 s l i o 2.�� �ti � �• ��_ �ti� � � �t • <br /> �9 <br /> '"+ �r . <br /> �� <br /> �r r'i <br /> �w � <br /> � � � 7� fI ����; rT( � � �� � �/ � <br /> SIGNEO: /I / �- L� I1 ( �i__ , i�.f�t�',;':`. : .. DATE: j , � , <br /> � �� � ^� �� � <br /> .�...�..,. �� <br /> � <br /> +�..f <br /> 3/27/90 <br /> ti <br />