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� � i <br /> H <br /> ��� ^ �+a .�-, <br /> � � crrsr oF �rr � 5 — I �I— `i� <br /> ��� ELECTRICAL WIRIPIG P�' f APPLICATION FEF. �� t r'�I � �U <br /> �!��6"d <br /> �•Hi�i� JOB ADDRESS 2 '� c7 O I'1"��v � l 1 ��l/��Z F f 1i1 �_i�C '� �D <br /> N W� TF3IADR' l( !J k h C)�J(� <br /> �i y� P%&F.RTY (7P1NER _a l C—V C(-S Q t-lcl f�} Ss cl c t��K'S <br /> M . <br /> �H ' ELECPRICAL ODNPRAI.'lUR J�c�I l l.t r S'f �. �.c C h' 1 c_ � t� C. <br /> dd� <br /> � oorrr�roa�s r�xFss � y ( � �.�,.e ,�•t-`t- flz�e. �ve�e f�- �(�Zo) <br /> y� (1ty Z1D � <br /> O <br /> -- - LI(�[15E N0. S �(-� I tU � T I Y-I /� � EXPIRA'^I�XV �A_�' ! � � cl O <br /> i <br /> � A[Y�IItIISTRP._^OR S�10.�� �s����� f�1 PEiO[� �A. Z.'j`Q— I�'U2 � <br /> VAi,UE pg GpgK �' 'z 5� � vL� (do not i.nclude taxes) <br /> (£or camnscial c.ork) <br /> USEOFBUILDING C�c1l�� v��a �c <<� � r� il'�tt � �,>>r,�CC <br /> NOTE: �1PL• 296-46-140 xequires that plans for electrical work at educati�al., <br /> institutional or health care facilities be aporoved by the State of <br /> Svashington. Applicants with such jobs m�st shav the State aoprovecl <br /> '�' plans before a City of �erett pezmit will be issued. <br /> 1_' NO'i'�: SJiring im m� di,ellings is required to be in conduit. <br /> s <br /> ; ; , WOAt Zl� BE DO[� <br /> � <br /> 1 � � <br /> � , I ��'i 1 7''L� �Z �� n1J �i � �% I Cl i �:�_��- �}{���i;cZ� <br /> � � ��4 ( v( �C > <br /> � <br /> t_' /, <br /> �1 ' <br /> _� - _ <br /> � sicf��D: ����'''" '�I�,%% pP•,T t� - l �I ' �i �! <br /> _ �__��7 =J j <br /> 1 �L,.� ' <br /> � j✓ <br /> �.. <br /> � <br /> � _' � 'vll . �-� ^f�. �ti� <br /> ( 5 ,;�'. �.r . �'I 3 2 ? � S : <br /> 12/15/e9 - <br /> � '!. � '- <br /> I <br />