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5917 EVERGREEN WAY 2018-01-02 MF Import
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5917 EVERGREEN WAY 2018-01-02 MF Import
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Last modified
9/19/2022 1:35:55 PM
Creation date
2/9/2017 9:47:45 PM
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Template:
Address Document
Street Name
EVERGREEN WAY
Street Number
5917
Imported From Microfiche
Yes
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,,�, , , <br /> � �� �L 1 APPLICATION rOR �L�CTRICAL PERMIT <br /> � y <br /> a CITY OF EVERETT <br /> x <br /> H H � BUILDING DMSION <br /> y � H 320D CEDAR STREET <br /> c] <br /> EVLRETT,WA 98201 259-8810 <br /> H ;tl <br /> � N � <br /> Cn N <br /> � zO � ��`��� /�iiv/�sC� �`i/7C�r/Pri��'�i',�y �i�i-�r'T G��s� >3T�Z�� <br /> p N d OT Mail Address City State/Zip Phone <br /> H�g 5�,�-�� S ����,�� w�,� ����z�y. <br /> a �e <br /> t" y � Teoaot Mail Address City Stale/Zip y Phone <br /> y y ��?D� ��,.1�� ! <br /> ge y �'� , � �� S�ir�� �ZY�c�'1 C� �i��.�7i Gva�� 7� C�a�e,s 7� <br /> ❑ , i �Gi%i Pe%=/, <br /> � [+1 � Electrical ontractor Mail Address Ciry State/Zip Phone Stale Liceuse No. <br /> � o � 7�J�— � F��c{ ,�'�,��,�� <br /> - Contract Price of Work Proposed Use of Building <br /> 5�9�7-� {�er5ree,�iN�k1 �Ve��-�7 (i"� <br /> � � Project Address � — <br /> �� {�� Descriptiou of Work to Be Done: �l �v���� � � ��P��� ' '��� /���� O � <br /> �_ , <br /> _�G�; L Di,��' � Dc=?s �c�� �// <br /> --� <br /> I ��� <br /> '�� NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCA:TIONAL, INSTITUTIONAL OR <br /> �I I HEALTH CARE FACII.ITIES BE APPROVED IIY T1iE STATE OP WASHINGTON. A.i'PLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATF APPROVED PLANS HEFOP.E CITY OF EVERET PERMIT WILL IIE ISSUED. <br /> - 1� NOTE:WIRING IN NON-DWELLiNGS IS REQUIRED TO BE IN ML•TALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> �,� NOT RACEWAYS). <br /> I IIEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TC BE TRUE <br /> AND CORRECT. pLL PROVISIONS OF LAWS AA7D ORDINANCES GOVERNING THIS TYPE OP WORI: WILL IIE <br /> �1�, COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNF. AUTHORITY 7'O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AOTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICAT[ON IS MADE AND I COMPLY WITH <br /> THF STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ,������� � F� =��..5�� <br /> ' � igna:ure _ Dalc <br /> � <br /> decepp(!ISl97) <br />
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