Laserfiche WebLink
M�� <br />�O�'S <br />ay5m <br />y 93 <br />z <br />M. (] <br />�H� <br />yH <br />[�1 O � <br />H <br />��g <br />47. n <br />t' y � <br />Hy <br />8y <br />H <br />nbCy <br />Chr�7 <br />� H t/� <br />H O tn <br />C� <br />� �� <br />�� <br />�� � <br />�'� <br />CITY OF �VEFiLTT <br />� <br />GI,I:CTRICAL WIRIt7G PEFI4IT APPLICIITION <br />DATG ' ` _ <br />.. ��-� � <br />FG6_•�_�� . . <br />,10� ADUHF55 �i �/ / �'� y � f � � --_-_-. ___—__--- <br />� <br />TCDIANT 'i /' ��'? �� �1i � L�it'C f <br />PROPERTY OWNER ifI%�%I — <br />GI.6CTkICAL C9NTRACTOR 1� oL tC� =�-fz�� '- --- <br />CONTRACTOR' S ADLRE55 I�iOO J �n',� �i'�� �• C- ' �` �,�: '� l' :'�' '? -- <br />rrrv ZIP <br />I.ICENSE N0. > > .F �� ��G��//,"/ <br />.1DMItiI5TIL11'OR ����)� �/!'f/C�[ �. <br />vALUG OF wORi: <br />(for c�mmerical wozk) <br />L'SC OF ilOILDING <br />EXF7.PI�TION D71TE ��/1� __ <br />PHONG NO. __ <br />(do noG include tr�>:���-� <br />,r���ri;; t�:i�r_ 29G-46-140 requires that plans for e' ctrical work at educational, <br />�nstitutional or hr_alth care facilities be approved by the State oE Washingt��n. <br />;�pplicants with euch jobs must show the State approved plans befe�e a City <br />of l:vezett permit will be issucd. <br />t1pTC: Wiring ir. r..,. .�.,.,,,i :..... :.. .....::....: . . i.,, ;.� ..,.�„��i• <br />WORK TO OE DU!�f�.: <br />�Jl� /��� <br />v <br />/1/Gv `1ci�1 C' <br />) <br />SIGNCD. _�L/��� <br />3/z�; n�� <br />