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crrr oF �:�rr { n�TE � / / 9' <br /> er�ecrRi�. wix�r�r p�ru�r �rP�cAzzc� � — <br /> JOB ��s ���� 3 r�c� �� �c� � V� re � <br /> TEN.4PIP �G 7/ C � I F rj�P(2 <br /> PFmPEKCY U+�IER '� �/ � n q' / �/ �Q' 14- <br /> ELkX.TRICAL OJNPFtPL'IOR ��l.i �� �//L <br /> �PIPF2AC10R'S I�DDRF.SS <br /> City Zip <br /> LI(�NSF. N0. EXPIRA'�'Irkl OA'!'F' <br /> ADtR^TISTRP'10R PH(k1F: fA. �j �z��- �7!� <br /> �,� �,. t,�� (ao not include taxes) <br /> (for camercial �oork) <br /> [�E OF BUILDIL]G �FY'-- - <br /> NOTE: {�C 296-96-140 requi.res tnat plans for electrical work at educati�al, <br /> institutional or health cam facilities be approved bY the State of <br /> Washington. Applicants with such jobs mist shaa the State aoproved <br /> plans before a City of Elmsatt pernut will be issued. <br /> t10TE: tliring in non chvellings is required to be i:� conduit. <br /> WQRK 'IO BE DOPIE' <br /> �� � c�-� � _�a ..t�c� /� f�� c �i <br /> � . ,�, �> <br /> -- , 1, <br /> � - - - �� <br /> sic;rtr�: ' � � �'- '� °`''�-`�`'' <br /> — — ( <br /> lz/l_s/a� <br />