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.-. <br />cirr aF Ev�Err oarE: �- � C� ,� q <br />ELECTP.IG1L WIRI1�lG PE�MIT AFFLICATICN �: ' �� <br />;,ae aceREss oZQ S,I�,I, �v�<-c 1i / Ia /� l�� � Su ,'7�� �� <br />TEi�ANT �o.l s�= je x- /��'Sac . <br />FROPE�TY OWNE� �„ ��.� fi �l� � FIc� u r 4� <br />ELECTRICAL CONiRACTOR �� / , �> I`I�, <br />L_TC�VSc i�!0. �� v �'L % 3 7 �,� E:<P�4ATIGN �ATc % - // - ��% <br />AO�NINIS iRATCR �� �,� 1'f� FHONE N0, 7�S ,i - Lf,Z,2 �] <br />VALUE OF WORK ���� � (do not include taxes) <br />(for ccmmercia.l ork) <br />J� � <br />US� OF BU_TL�L�G /�llilc r° i, e%�a ,� / <br />� <br />NOTE: YIAC 2�6-46-140 requi.res th2t pl�ns for elec�riczl work at eCucat_onal,� <br />institutional or health care faci�=ties be aoproved by the State oT <br />Washir,gton. Acolicants with such jc�s must show the State-:oproved plans <br />L'�rOT� fl Clty Oi Evere*i P�_Tilll�`.� WL� f7� 155UB�. <br />WORK TO 3E DONE: <br />q �/ � <br />%�nat.X I"rEcy-�/s <br />. 7 <br />sic,�iE� : `' f � � .. � oare / - /O - � `( <br />riors ar.� cc�nMe�rs: <br />5/1C/�7 <br />1???H <br />_ . ,,. <br />��� �:'. <br />' �; <br />