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�t+1� <br />A�Zx <br />C H <br />9 H p� <br />4 <br />y H <br />�C c� <br />H xl <br />� H '�9 <br />Cp H <br />[�70� <br />OHb <br />H^�g <br />Y, V � <br />YH� <br />� <br />r HH <br />� <br />gdy <br />��� <br />zym <br />HOcn <br />L'ITY �F EVE�2ETi' <br />E.EC1RICaL '�9IRING F�MIT AFFLSCATZON <br />OATE: 2/ rC� ��1(� I __ <br />FEE• <br />;,CB AC�RE55 �'"�-'- I 7>/�:C/Jll) G� ('/ L V-1 C+ � <br />r�anT —,`i� I� �dY' L�) i it� �� - <br />FROF�TY 0'i9NErZ <br />ELECTrtSCAL CONiRACTOR <br />.T� <br />LICENSE N0. ��/a! Ax .4Ti �1- :v � EXP�7ATIOPJ �ATc / y�!n <br />AOMINISTRATOR ��� jZlJ1--� PHONE N0. ZSZ-C�� � <br />VALUE OF WCRK � 20dC� � (do not znclude taxes) <br />(for commercia wor� <br />USE OF BUILDING l l L -//��� t�r �J ��i�� H� ) <br />NOTE: WAC 296-46-140 requires that plans for electiical work at educatianal, <br />��� institutional or hezlth care facilities be �pproved hy the State of <br />I��� Washinaton. Ppplicarts with such jchs must show the State-�pproved plans <br />hefore a City or Everett pe=nit will Ce is=_ued. <br />� .,,� <br />�� <br />WORK TO BE CONE: <br />�� �/ <br />�YCSS Shu� - <br />i� � /pELUG/,�T�. �w SilN6 Li�/,� ��✓ r �,.,� ��-i73✓ �%C�SS��tJ G •�'�• S <br />� '" : � oarE 77 ��i%�5 <br />i�� � �. SIGNED .-�=���, <br />NOTES ANO CGhM T5: / <br />6/10i87 <br />192°N <br />