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10 <br />APPLICAT]ON <br />FOR ELECTRICAL <br />PERMIT <br />y N <br />t' yyt y <br />,.. <br />...�n <br />H L N <br />O T O <br />� in N <br />`' <br />ar ett <br />4. Y C.e I <br />o <br />=UILDING DEPARTMENT <br />Q <br />259.8810 <br />eH'3`7T <br />n • iS <br />N =c= <br />F7 Z <br />vN y <br />Port Gardner Physical Therapy 3531 Rucker Ave. Everett, <br />WA 98201 259-0231! <br />4 <br />RN <br />C to <br />nner Mail Aaaress <br />City Zip <br />none <br />�] O N <br />Tenant Mal I Address <br />ity ip <br />hone <br />ID#—EM9 <br />u ecin ca Lontractar Mal Caress <br />:1 ty zip <br />COMMERCIAhone <br />License < <br />$655.00 <br />lonirac- rice or Worz <br />roposea Use or ouiiaing <br />3531 Rucker Ave. Evurett,'WA <br />98201 <br />ro)ect Aaaress <br />S:sc: eao or 4IcrA to _e sane: LOW VOLTAGE SEC. SYS. COMMERCIAL <br />EMNET#2377-6-29 <br />C: <br />N <br />NOTE: 'WAC 296-46-140 RECUIRFS THAT PLANS FGR ELECTRICAL 'WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />'WASHINGTON. WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />BE APPROVED BY THE STATE OF APPLICANTS <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />r <br />NOTE: 'WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN METAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />r <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />OF ANY <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />?(7 <�t' <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br />=1 1 <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />1 <br />CONTRACTORS LAW 18.27 ROW AND 296.200 WAC. <br />X LJU r M�..e� � I z�I a.z <br />Sign D to 3'/5 / <br />