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. - � ,....�, . <br />cr��r oe r•_vrnrrr or�e l �� �1 / <br />� <br />EIL•CTf2IC�L IJIRIAIG P�[it•tiT AE'PLIC4TION FF7�: � S <br />J0� ADDRESS / � D �(JGK��� <br />1'GUIPIC <br />PFd�I'ERCY Q�IEft G Rn�1F� /��11/�"�/,�� <br />EI.ECI'k2TGAL CC�NPFU�CIhR � _ _��Y��%�� � �h �' �F%�� �itlC <br />CU�II`RAC�OR' S ADDRF.SS <br />LICS:NSF. `1D. �5�� 'rJ �a! � �� EXPIRATI�7N OA^_'F <br />ADP4T"II.S1'Ra?OR �n�� Q��ii i PfilklR PA. ��6'` -�ry gd <br />VA[.UF_ oF hnRK (do rot include taxes) , <br />(for ��mercial �.ork) <br />utie �F s�rtrnrrx; S F� <br />t�YCe: t�+� 296-96-140 c�quires that plans for eleatrical work at educatirnal, <br />inctitutional or health care facilities be aporoved by the Stata of <br />ta�shinycon. Ap�licants with such jobs rtust show the State apptvved <br />plans t�fore a City of �erett pern�it will be issueci. <br />CxJT�': f9iring in non doellirx�s is required t� be in conduit. <br />wn�c 1n ee mrr� <br />sIc<�tED: ���"(�, r,� Z� <br />1?/]5/89 <br />OAmF / -//- 7� : <br />� <br />