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� <br />CITY GF EVER� <br />EtE�Tr�ICAL WIAING F�MZT AFFLIC.1TIG� <br />�8 AOCRE55 <br />7ENANT <br />rRCf�EjtTY OWPER <br />DATc: ���. zC , �� <br />r _: <br />P/� <br />�^/ .N/ /%'/ 'A <br />�GV /U � / ( � ` /, T,Lt S� <br />ELECTRICAL CONTRACTOR (')I n}J7 D� J <br />�EC. CONTRACTOR'S MAILING ADCRE�.: <br />LICEPSE N0. <br />ADMINISTRATCR <br />EXF:RP.'i�7N DATE <br />PHONc Iv'�. �x✓o2 ^� f aZ0 <br />VALUc OF IVORK (cc not incluoe taxesi <br />(for commercia work <br />US`c CF BUILDING � �� rj (�� �{/C°�� • <br />N�IC: �fli1C 29(-46—jL•O ��OU���S i.rleL F7�ell5 fo= =_lect_`_ce_ weric 7t educational, <br />ins�itutional OL h�Blth Ce_T? iaC_�1t�E5 CE acprovec by the $i.ntE 0� <br />Washinoton. Acplican�s with such jobs ��.ust show the State—aooroved plzns <br />bePore n L'li.Y Of Ever=tt pe_*7ti� W].� � be issu=�. <br />�YGRK TO E` DOt�'c: <br />(/ �-.�`�--.-��G --� ��O <br />— �-�" I�PD )1 � , <br />SIGNp : <br />NOT'c5 AND <br />G�U'U�cti�J <br />�a�t Li�1'� 1�� �� <br />/ <br />