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322 ALVERSON BLVD 2016-01-01 MF Import
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322 ALVERSON BLVD 2016-01-01 MF Import
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Last modified
1/23/2017 10:14:39 AM
Creation date
1/23/2017 10:14:16 AM
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Template:
Address Document
Street Name
ALVERSON BLVD
Street Number
322
Imported From Microfiche
Yes
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. . ( <br /> APPLICATION FOR ELECTRICAL PERMIT ��q�v <br /> CITY OF&VERSIT � <br /> BUILDIIJO DMSION <br /> 7200 CEDAR S77tEET <br /> EVEREIT,WA 9l201 <br /> asReno <br /> �ae. �,-z.��/,�� 3a� �/���J,��'l,/'�. ��;� f�7•r as'- 3Pio <br /> Orum Mdl Addreu City StatdZip phone <br /> Teo�ot � � � Mdl Addras City SI�WZip � pyone <br /> /1�^ .2 <br /> HlalriW Coolnclor M�il Addrou City Slale/Zip P6oue SUte IJee�ue No. <br /> ��F 1� <br /> Contnct Priu of Work Proposed Uee of Buildin; <br /> SAnv� <br /> Projat Addrw . <br /> Deuriplion o(Work lo Be Dooe: f NlLL� Il <br /> NOTE:WAC 2%�6•IAO REQUIRES 7HAT PLANS FOR 6LECfRICAL WOIUC AT EDUCA770NAL, INSTTflfI70NAL OR <br /> N6AI.TH CAR6 PACM'IES BB APPNOVED BY 7'HH 5fAT6 OF WASHINGTON. APPLICAMS WI'IH SUCH JOBS <br /> MUSf SHOW THfl STATH APPROVED PLANS BEPORE CCfY OP EVER6f PERMIT WILL Bfi ISSU&D. <br /> N0T6:W[RINp IN NON-DWELLWOS 1S REQUIR6D TO BE IN MEfAWC RAC6WAYS(MC AND AC, ARH CABIFS, <br /> NOT RAC6WAY5). <br /> 1 HGREBY CLRTIFY THAT I HAV6 READ AND 6XAMINED'1'HIS APPIlCATfON AND KNOW THB SAMB TO BH TRU6 <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS 7'YPB OP WOAK WILL B6 <br /> COMPLETED N7TFi WHEI'FtER SPECIFIED NEREIN OR NOT.TIi6 ORANTINO OP A PERMIT D065 NOT PRESUMH <br /> 70 6NH AUTHORITY TO V10LAT8 OR CANC&L 7}(H PAOVISIONS OF ANY OTNER SfATH OR LOCAL LAW <br /> Rfi0U1,ATINO CONS7RUCI70N OR THE PfiRFORMANCH OP CONSlRUCf10N. THAT 1 AM AUTIiORIZBD BY THE <br /> OWNER OP T}!IS PROPfiRTY TO PERFORM TH8 WOkK POR WHICH APPLICATION IS MADO AND I COMPLY H7TH <br /> i}IG STATB CONTRACfORS LAW 16.27 RCW AND 296.7A0 WAC, <br /> � �,(%��.C� /1.,�.� s>�-fs Fa °�_ <br /> Si;nuure Due <br /> ela�pp p17N71 <br />
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