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APPL1CAi .JN FOR ELECTRICAL �ERMIT <br /> � cirr oF tv��r <br /> � �'���/ BUILDING DIVISION • <br /> ,3�c7 /UG ./�,r f),_ �J); Y szao cmut srn�r <br /> � / EVExerr, ►a 9azoi <br /> 259-8870 Y�� � ��'--%� <br /> SDL Carporation PO BOX 1685 Bellewe WA 98009 <br /> � ner Mai Address iCy tate ip hone <br /> Clairmont Village 9809 Even7reen Way Everett <br /> enant ai ddress ity tate ip hone <br /> Mericiian Center �lec 11109 66TH Ave E Puyallup, Wa 848-5595 MERIDCE3185G <br /> ectrical ontractor ai ddress �ity tate ip hane tate ieense o. <br /> $3000.00 • com mercial � <br /> ontract n ce o Work � roposed Use o ui ding <br /> 4809 Eve-green Way <br /> ro�ect ddress � � <br /> Discription of Work To Be �one: 11�1dE'YCJLUUnd WitlflcJ <br /> NOTE: WAC 296-46-140 REOUIRES THAi PLANS FOR ELECTRICAL WORK AT EOUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED 8Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORF. A <br /> � �CITY OF EVERETT PERMIT WILL BE ISSUED. , _ ' .. <br /> ?70TE: WIRING IN NON-DWELLINCS IS REpUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> APPLICATION AN�KNOW THE SAME TO BE TRUE AND COFRECT.ALL <br /> PROVISIONS OF L4W5 AND ORDINANCES GOVERNING THIS 7YPE OF . <br /> WORK WILL BE COMPLeTED WITH WHE7HER SPECIFlED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NnT PRESUME TO GI\'E <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OFi LOCAL LAW REGULATING CONSTRUCTION OF THE <br /> PERFOFMANCE OF CONSTRUCTION.THAT I AM AUfFiORIZED BY THE <br /> OWNEA OF THIS PROPERTY TO PERFOFiM THE WORK FOR WHICH FEE 77.00 <br /> APPLICA710N IS MADE AND I COMPLY WITH THE STATE : <br /> CONTRACTORS L4W 7 27 RCW AND 296.200 WAC. <br /> X � t�_�.� � r' 7 a — �7 L� <br /> Sig ture Date <br /> �'�� �'j l�?--- <br />