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CITY OF EV"nFiETT :;� DATE _) ,�-G- 7 / <br /> '' «�c <br /> ELECTRICAL WIRLNG PERMIT APPLZGlTION . � FEE �S� <br /> JOB ADDRESS � �� S /G% "�iC ' PC . � <br /> r3 �H� TENANT _ <br /> .O�x PAOPERTY�OWNER � /Z F[o /' ni n L/' Sc ,,,� <br /> Qy H <br /> r yxy � ELECTP3CAL CONTRACTOA 'K�'_1/Zj,O/� <br /> HxH .� <br /> K y � CONTAACTOA'S AD�RESS CITY ZIP <br /> 'i1 H htl <br /> V7 H <br /> �7 z� LICENSE N0. . c'{PTRATION DATE � <br /> �y d�y ADMINISTRATOR PHONE NO. .)�{ : � ,G 1 ��_. <br /> 4�]� c� VALUE OF WORK (do not include taxes) <br /> zy� (for commerical work) <br /> � H y USE OF HUILDING �A/ Ar'F <br /> g �� <br /> H <br /> c� t7tn NOTE: WAC 296-4fi-140 requires that plans for electrical work at educational, <br /> � �� <br /> � ,�� institutional or health caze £acilities be approved by the State of Was ington. <br /> y y y Applicants with such johs must show the State appxoved plans �efore a City <br /> y � � of Evezett permit will be issued. � . <br /> � NOT�: Wiriag in non dwellings is required to �e in conduit. <br /> � <br /> � WORK TO BE DONE: <br /> ' Ta�_� _ ' ` • <br /> � � <br /> ����q,��/ "I . t ^ '.�t'8- � <br /> � <br /> �� `'�'�7J <br /> li t'�� �� l-"�r� N l Y - � ' �.S't.'c�:Cc i/J CP�,7 ' � /'/' C/C./. s ✓ il(.r[ E ! � <br /> '�' � <br /> SIGNED: ,��C�1:� i .a�n�.Z DATE: �,oc.f� '�I � / �� I <br /> ��� ' <br /> 1�. <br /> . . 3/27/90 ' . <br />