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_"..-CR.TC.- WIP_T:IG ?.=R."4IT ???L-TC,T:ON <br />SOB ADDRESS <br />PROPS?'.= OWNER C � D � � / •-I <br />3.-acCTR_TC.0 CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />L7=-ISE NO. _ <br />AILM=ISTRATOR <br />?SC:IE NO. <br />CIT7 <br />VALUE of WORK -/rJo "-" (do not inc'_ude taxes) <br />(_or co—er'-oal work) <br />Z_P <br />USE 0? 30=LOI_tG _q i- C9 = % r if � o <br />NOTE: nac 296-46-140 =_tics that plans =or elec_:cal work at edccatioral, <br />instit.:tional or aea:t_i case =aci1_ ies be approved by the state od Washington. <br />dcocants wi=i such jobs oust show the State approved plans be=are a r <br />ty <br />of Eve-ett ae==.it will be issued. <br />NOT_: Wiring it non dwellings is recui.=ed tc be _n conduit. <br />WORZ TO 3Z DONE: <br />SIGNED: 15- �1 <br />3/27/90 <br />': /— 3-si <br />