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'� � c�sp <br /> -W �� . . <br /> crrY oF Ev�rr n� �/c1 �o <br /> ELE(.Z'RiCAL Y7IRI[�1G PERI�P APPLICATION / <br /> � 3 f" — <br /> JOB ADDRESS .__ yg�9 Sr-w Ut r25T <br /> TENANP �r.i�s�r �KwI%S <br /> PFtDPEKCY OL4DIER _ SCCE(�T HON.I(-S <br /> ELECPRICAL Q�Nl'RACPOR _ ( � G�/J �/ -CTT�/C I��C <br /> oonm�R�s am�uss �n. �,x yz'-f / �' vi ,�.m l iw. 9!l,�83-.�y2y <br /> �� ZlA <br /> ��E �. : L-�c-'tLI� /0yc3 EXPIRATTrk] L�'�' �C-$ 9Z <br /> Arx�fft�RS�tA'mR �� A�ihE7L PLoc� rA. y��' -9ZZ� <br /> �'� � ��� (do not include taxes) <br /> (for can'nscial work) <br /> iISE OF BUILDING ��S j j� (J � <br /> Nt�TE: i�:C 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be aporoved by the State of <br /> Washington. .Applicants with such jobs must shaa the State aoproved <br /> plans before a City of �erett pei.-mit will be issued. <br /> NOTE: [4iring in non dcaellings is regui.red to be in conduit. <br /> 4dJRK � BE DONE� <br /> ���Dl/57��UCT70�-I LVl7 �}N,fT� $��ZUIC� <br /> sIG!qED: �/� 4 � (Ji�l.�- 1 ' DP'�'E //y,/l S1 — <br /> —7,�-� <br /> 12/15/69 <br />