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��HpC <br />G 1-+ <br />y <br />H H <br />W f! <br />`A <br />� M � <br />N <br />x <br />��d <br />��8 <br />(.]r �] <br />�y�H <br />8" <br />�� y <br />O (yMn <br />� <br />� <br />C� <br />1 <br />� <br />CI1"; �.�� ,:':i�.i�I', � <br />t'I�i�.C'I'k:t7". >7Ir.:`.'; I I:1@1IY APPLICATION <br />�r�a ;a�,i�t�.o-�ss _ " _ <br />'�:, i __ `lG, ti. - - s <br />TEi:ANT ( - : �-'/-� �� � <br />� � <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOH � � <br />CONTfiACTOR'S ADDRE55 <br />UATE '�I� � '��" <br />_ ". <br />FCF. ✓ 3 <br />CITY :'.II` ��-- <br />�P^)�/L I II ��y � �`�- � EXPIRATION DATE ._. _.__.... <br />LICENSE NO. �-11— <br />PHONE NO. � �� '' ' � �-'- - <br />A�MINISTHATOR ---- <br />VALUL• OF WOkK (do not inct�.:�h. t.c. .. <br />(for commerical work) <br />75E GF BUILDING �-� -" - - --- � � � ----� --�---- -� �- -- <br />NGTF.: WAC 296-46-140 requires that plan� for electrical work at educational, <br />institutional or health care iacilities be approved by the Stnte nf Was?�.ii��;t��n. <br />Applicants with such jobs must show the Sta[e epProve�it�lan=. 6ef�.n� a r'i��Y <br />of Everrtt nermit will be issued. <br />NOTE: WiCing ln non dwrll�nqs ir�� r�����.ii����l t„ I�c in �-�,n�luit. <br />N+pµK TO BC DONE: <br />�r,� �- C , i> s - ,,,�,_ — <br />� � � r ^ <br />,� ' i /;;. . , . <br />SIGNED: � -�-��--� -- -- <br />fi_.:—_-' c '-.`. __.-___-_ ._. <br />-..�- <br />3/��i')n <br />r/ � � <br />rnTr.: _t�=---- <br />