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pii�yy r�'�! <br />�;.r �,��t � t Dnr�: 1����f'p <br />:Lct:iHICAL WIRING PEftMIT APFLICATION FE�: <br />.:CEI A�GRESS <br />iFPIAUT <br />fl;l;iF:7TY OWNEf2 <br />CLECIRICAL f,ONTRA <br />LICE��SE N0. <br />A['MINISTRATOR <br />. I'/. �+• . ✓ • ' � � � <br />• � � i � <br />oI „r. • . ✓ �/ � � ' � <br />VALUE OF 'dGRK (do not include taxes) <br />�roc ccRenercia wor� <br />�� _ <br />USc OF t3UILDING <br />r,ul�: �dnC 29G-4o-140 requires that plans for electrical work at educatlonal, <br />ins[iCutional or heal[h care facilities be apptoveA by the State Of <br />'��a=_hirgton. Applican[s ai[h such jobs must show the State-approved plans <br />cciore a City or Evcret: petmit Ni]1 Le issued. <br />�n�r, iii ��F Ci.'dE: <br />�,�[ (�cJ _�—'— OATE � ��// D <br />SICDED � Z,-� <br />�, , <br />NOiES MD COM�t74T5: , <br />6/10/87 <br />192CF1 <br />