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ELECTRICA.. 5 4 G 4 G 7 <br /> � WORK PE IT APPLICATION <br /> Is ted _..... . \� I P <br /> re�hard.4th coPY P� . . .. . .. t�s aug�d rn <br /> Please PTe ..... . Ready now W�ll call ... /�/J _. . ........ <br /> uon � <br /> . ,..Todaysdate ,� /'aL�C/ . .. . .. /� <br /> 3 -. g� � �/ <br /> �. �— � ..Elcetrical contnctor O�wne[Tclephone numbet , .. .. .. ....... .. 9.� / <br /> /W� "' ��/i/��//Ve <br /> �00_ �w`� <br /> �', Iob wircd by . . . ... . ( �J ..) � <br /> ....._�..... .. .... / 1 <br /> . . ....... ..... liq .... ......... <br /> �'� Addtess of inspection � � . `7� f ._. <br /> l�J..sl ; �; <br /> �y/� _. aN�.... a� _ .. co��y .... <br /> Gry ......... . .. s�a�,.,isd { � _.._. <br /> / ; <br /> �'f� ;.... <br /> (.. ...... . <br /> ��� � I <br /> p�e�p"�saow/Qasn�QO �' _..._ ._..... . ..... ... .. .. <br /> ' / �5!{ ..... .. ���.. License numbe* . ,. . . <br /> ;�Y <br /> ; <br /> . n <br /> . p�upac�lcontnctornune ���G._�Od ����/L��V.. ..... ... ..... <br /> i.....L D.��........ . � . .. gernsap�kwre <br /> �properip olid�hd. <br /> i, Wrchucr mulinBddross¢� �� .................i,��lofl.�borAl�ultb�e� <br /> 7a� `'. <br /> 1$'$'mO .�?' .... sa� teZlP <br /> ` ; <br /> Ciry <br /> LG�a���`�� �°us _`��5.3 '; <br /> : <br /> { Powa PNY .. <br /> n ; <br /> ... . .................... .................... <br /> �(��.,// �i'.................................................. .. .. <br /> �. . ..l....�����-�6..._ . j <br /> '�. I heceby cMdy�hat I em the owntt(or authorized egcnt)of the ebove ' <br /> I named pmpertY or�licrnsed clectrical convacw•(eK the fim�s <br /> '�. eu�horiud aganQ and em making the eloctrical in.,..11suan a*�lteretion ;, ' <br /> ' limce wi�h�he electricd law. Chepter]9 28 RCW. ............ : `; <br /> �, incomP�... .. ...._. � - : � <br /> Signe�ome owncr cx�dm� tor . . . . ... .. ._. .. . .. <br /> . X C� .. `...._. _. ._ <br /> SERVICE LOCATION <br />