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cirv aF Ev�t�r <br />ElECTRIGIL WIRING PE�7MIT AFPLICATI�N <br />JOB ACCRESS <br />iENANT <br />FROFFr�TY OWNER <br />� <br />oar: / l3 / .' <br />�_: <br />ELECT'�i IC�L CONIRACTOR J`7c/7VE �K.(siN�KIwC7 <br />LiC�.`!S� �;G. ��7'/t1E61B7�K E:<P��ATICN �Ai� 2 <br />ACMINIS�ATOR �f(Z�L'2$(oN�� FHONE N0. ']!6-FSllq <br />VALUE OF WGRK (do not include taxes) <br />(for ccmmercial workl <br />USc OF EUIOLYG <br />NO'fE: 'dAC 2°b-46-140 r=ou=res that pL--ns for elect<-:czl work at eCucaticnal, r <br />institutional OL health C3L? T8C_��t��S be acproved �]V ti�E �tdt� Oi' <br />'�Vashirgton. A�olic=_nts with such jccs must shcw the Stat�-�proved plans <br />Ce*or= a City or Eier=ct pe�i� wi11 be issued. <br />WL'RK TO BE DONE: <br />W IR�' A00 i�rwa <br />I�s-na�� Qaess �A�s rN �n�1 <br />1'1V I CJ ri'.0 4�.�•�.i•�G'� i a. <br />5/:C/97 <br />� .•�au <br />