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619 LAUREL DR 2016-01-01 MF Import
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619 LAUREL DR 2016-01-01 MF Import
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Last modified
5/11/2017 3:41:39 PM
Creation date
2/19/2017 1:42:02 PM
Metadata
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Template:
Address Document
Street Name
LAUREL DR
Street Number
619
Imported From Microfiche
Yes
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yxc�H <br />n1Cr�,� <br />o�x <br />G H <br />�Hfn <br />HxN <br />�C c] <br />H �7 <br />Ux0 <br />�U H 'i1 <br />(A N <br />[�1 O � <br />H t7 <br />OH <br />H�g <br />(� Y [] <br />�H� <br />x <br />HH <br />gy <br />H <br />C] t1 f/a <br />��t�+f <br />HOV <br />� <br />r <br />�� <br />�`1 <br />; '� <br />CCI�Y GF EVL-RETI' <br />IIUILDING DIViSION <br />3200 CGDAR STREET <br />EVLRETT, WA 93201 <br />Owncr <br />Tenant <br />��_ <br />Electrical Contraclor <br />Contract Price of Work <br />Yrojec[ Addrrss <br />Al'PLICATION TOR rLECTRICAL P�I2NII'f <br />;cL� �/��i <br />Mail Address <br />Mail Address <br />Mail Address <br />Ducriotion of Work lo Be Donc: /��� / <br />� <br />�,a,-c 1.G�,,: �j�� <br />City State/Zip <br />City SCate/Zip <br />City State/Zip Phooe <br />Proposed �' .c of Building <br />/ <br />nc� .9n�,1' ;:��✓ic��= <br />259-8810 <br />� .a�,�', _y��y <br />Phone <br />P6oue <br />State License No. <br />NOTE: WAC 296-46-140 REQUI2E5 THAT PLANS POR ELECTRICAL WORK AT EDUCATIONAL, INSTIl'UTIONAL OR <br />HEALTfI CARE FACILITIES UE APPROVED BY TIiE STATE OF WASHINGTON. APPI.ICANTS WITH SUCH IOBS <br />MUST SHO1i''PHE STA7'E APPROVLD PLANS BEFORE CITY OF EVL-RET PERMIT WILL BE ISSUED. <br />NOTE: WiRiNG IN NON-DWELLINGS iS F.EQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NCT RACEWAYS). <br />I HEEEBY CERTIFY THAT I HAVE READ AND EXAMINLD THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />f:ND CORRECT. ALL PROVISIONS OF LA1VS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BL <br />COMPLETED \VI'CH WHETHER SPL-CIFIL•D F�ILRE[N OR NOT. THE GRANTING OP A PLRMIT DOLS NOT PRtiSUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCGL THE PROVISIONS OP tu:Y OTHER STATE OR LGCAL LAW <br />RLGULA7'ING CONSTRUCTION OR THE PL-RFORMANCE OF CONSTRUC"iION. THAT I AA4 AUTHORIZED BY "I'HE <br />OWNER OP THIS PROPERTY 7'O PERFORM THE WORI: FOR WHICH AFPLICATiON IS bfADL AND I COMPLY WITH <br />THE STATL CCNTPACTORS LAW 18.27 RCN' AND 296.200 NAC. <br />X <br />Sionatirzc <br />d:�orr (�[�i93i <br />
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