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'� �--. <br /> CITY OF EVERh�'I' �Z� <br /> ELECPRICAL WIRTr]G P�P APPISGi1TI0N � <br /> JOB ADDAESS �� �,� L/1/�TLriP�f�� �!/.� <br /> �cm 6'V�w �.o.,,�T <br /> PFd�PEKI'i' 0[+R�IER _ 1 )O✓v C�l2r v� <br /> Rr,FrrRrC_AL �A1PRAc.�R S,� .0 C Hu�c L-' �/rc, �i< <br /> �NPRACNR'.S ADDRFSS /��a 1 �f/��'^i7�Y �//r,�rfi 9��U� <br /> ' C1tV Z1D <br /> LI(�NSE :�U. ��SE% /.�,/ �Pk EXPIRATI��I i�A?'�' <br /> �r�¢rrz.srRa�oR � ,�7>i�r� �"�1 �or� rro. 65�- c�q3/ <br /> �'� � T'p� ���U�C� (do not include ta.�ces) <br /> (for carn?ercial c,ork) <br /> USE OF BUII,nILdG /�j�/,v �-'U�/S! L-Zec;n�cv1L <br /> NOTE: ��C 296-46-140 ran,;+-es that plans for electrical work at educationat, <br /> institutional or health care facilities be app_�vecl by the State oi <br /> [4ashington. Applicants with such jobs im�st shaa the State aoproved <br /> plans be£ore a City of �erett pei.-mit til�l be issued. <br /> NO'iy': [+�iring in non dcaellings is rec�i.red to be in conduit. <br /> G7JRK TO BE DO[�� <br /> ,�d a /9/�7Q St�li�c G �/ai�'l_'� <br /> SIG�IED: D��.r. <br /> 12/1�/89 <br />