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� <br />� <br />APPLICATION FOR ELECTRICtiL, PERI�IIT <br />CII'Y OF EVERE'!'r '� . <br />BUILDING DMSION � <br />3200 CEDAR STRE�i' <br />E���� WA 98201 <br />Val Luczak 2610 Hillside K Lane Everett, WA 98203 <br />�D°� Mail qddress <br />City <br />N/ A <br />Teuaot <br />Elxtrica( Contractar <br />Mail Address . <br />ID#-EM4 <br />Mail Address <br />- � �5S � <br />Contract Pnce of Work <br />2610 Hillside Lane Everett, WA 98203 <br />Projxt Address <br />City <br />City ' St�te/Zip <br />Proposed Use of $uilding <br />Descriptioe of Work to Be Done: <br />355-4069 <br />State/Zip <br />State/Zip <br />Phone <br />Low Voltage Sec. Sys, sfr <br />259-88J0 <br />Phoue <br />Phoae <br />S;ate Liceasa No. <br />• cuat#17109-2-4 <br />-..�_._,.,.,�....�_ <br />NOTc: WpC �g6-46-140 �REQ(JIREy '�qT PL�1NS FOR ELC['Rt�,�I, �yOgK AT EDUCATIONAL, I1rS <br />HEAi.TH CARE FACILSCIES gg qppROVED BY Tt� STATE OF WpSHINGTON. APPLICANi'S WITFi SUCH JOBS <br />MUST SHOW THE STATE qPpROVHD PLANS BEFORE C[TY OF EVERET PE(tAlIT Wu,L BE ISSUED. <br />NOTE: WIItWG W NON-DWELLINGS IS REQUIItED TO BE W METALLIC R,+,CEWpYS (MC AND qC, pRE CpgLES� <br />NOT RACEWqyg), <br />I HEREBY CER'ITFY THqT I HAVE READ qND EXAhtWED r-�S APPLICATION AND KNpW TF� SqME TO BE TRUE <br />AND CORREC(', qi I, pRpyISIONS OE LAWS AND ORDWANCES GOVERMNG THIS TYPE OF WORK WII,L BE <br />COMPL.fiTEp Wn'H W��R SPECIFIED HEREW OR NOT. TriE GR�W'iWG OF A PERMIT DOES NOT PRESUME <br />TO GIVE ACPCHORII'y TO ViOLA'(E OR CANCEL THE PROV(SiONS OF Ar1y OTHER STATE OR LOCAL L,qW <br />REGIII.ATfNG CONSTRUCITON OR THE PERFORI.tANCE OF CONSTRUCI'ION. THAT I AM qUTF[pgIZEp gY TF� <br />�WNER OF TFIIc pROPEF.TY'CO PERFORM 7i� WpRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITfi <br />Yi$ SfATE CONTRpCTORS LAW I8.27 RCW ANp 296.200 WAC. <br />� -������ <br />Si6itaturo <br />--� 3� 9`'� _ <br />Da�e <br />� �>�� <br />Fa 30. Q0= <br />a•�•cv C' <br />