Laserfiche WebLink
CITY OF E`JERETi <br />ELEr7RI�aL WIRING FE�MIT AFFLICATION <br />�oe aooR�s <br />TENANT <br />FftOF�TY OWNER <br />F1EC'R1CAL CONTi;ACTOR <br />LT_C�:'!S� D:O. <br />SS �I z S <br />DATE: ��P �_ _ � � �� <br />, <br />�'^� ;. <br />F-: �% i ' .,ry'�Y, <br />E:<=�,AT�C� DAT� <br />ACMINIS iRATOR FHONE N0. �� 7 I'�' 1�� ic' � <br />oO <br />VA�UE GF WGRK � U� � � (co noz include taxes) <br />(Por ccmme.c_al wor�cl <br />USE OF EU_TLOING r/j v <br />�OTE: 'H.4C 29E-46-140 requi=es tilei. plans i'0= E?ECL==Cfl� WOSiC 8t e�UCaL_OI181� �' <br />=(75�`,1tUL�Of121 OP healtn CB.� T'cC_�..=t1�S be acprove� bV ��10 S�dt? OT <br />Wasnirg�on. Aeolic=_nts �xith such jchs must snow the StaLe-:pproved plans <br />be`ore a City or Evere.� pe�-nit wi11 Ce is=_ued. <br />WORK TO Ec DONE: <br />1� 5�a �� <br />����5 � d ��l��Ts z, �fs <br />� <br />r �- � , <br />I � 6.�5� �i�. ;�'t�/ "fl�ePwroSl,� <br />S=G�JE� : <br />NOTc� A�:D CC7nMEdTS: <br />� (� n v� q h F�f tic j.P U <br />- � l� P w �> ,- l� rt`� <br />5/1C/87 <br />t ,1? a u <br />DATc <br />� (o �"`''' r', <br />�-� 1e <br />-Z�1 a '+�I / o a o <br />