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1420 GRAND AVE 2018-01-02 MF Import
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1420 GRAND AVE 2018-01-02 MF Import
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Last modified
4/18/2022 9:12:48 AM
Creation date
2/20/2017 4:31:06 PM
Metadata
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Template:
Address Document
Street Name
GRAND AVE
Street Number
1420
Imported From Microfiche
Yes
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� <br /> � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CIT'1'OF EVEgHT7' <br /> BUII-DING DMSION <br /> 3200 CEDAR STREET <br /> E��1T, WA 98201 <br /> 259-8810 <br /> /1E/°,4/NER z0 GR�yvo C <br /> �D� Mail Addrcss G�a�� 9�'10( <br /> City S4WZip Phone <br /> S ,tlE .. <br /> Twant Mail Address . <br /> City StaWZip Phone <br /> JG FL- ,�. n'^ Gr2il�t/D <br /> .� ,.�� E .� 1-L 9P]�� ��F� �se D <br /> ��amai Contractor Ma�l Address +�x 3L78N <br /> C�ty State/Z�P Phone State Iacwse No. <br /> SDD.OD � <br /> Cont+act Price of Woric <br /> Propused Use of Bmld�ng <br /> 1� 2 O G�A�N/� .QI/E <br /> Pro�ect Addrecs <br /> D�scription of Work to Be Done.� //�(/�/ ���,�aN <br /> NOT6:WAC 296-�6-1qp�REQ[ng��qT PLqNS FOR ELECI'lu�pi,WOgg AT EDiJCpT[ON,�I„ INSTTI'U1'lONAL OR <br /> �H Tf�STA��PROVED PLANS B FOR&CT�'y OF EVE�'PERMII,W��BE IS�D�H SUCH JOBS <br /> NO'f6:W I[t�G W NON-DWELL.A(GS IS REQ[JIRED TO BE IN METALI,[C RqCEWAYS (MC ,qWD AC, A� Cqg�, <br /> NOT RACEKrAYS), <br /> I�EREAY CERTIFy']'Hp1'(gqyfi READ q�(D EXAMINED TFilg qpp1,(CATION AND KNpW�SAM&TO BE TRUE <br /> AND CORREGT, �, pROVISIONS OF LAWS !WD p�INqj,��5 GOVEItNING �g 7�•pE OF WO�( �, gg <br /> TO Iyg qD �H ��R SPECIFIED HEg�IN OR NOT. TfiE GRANTpqG OF A pERIv(1'�' DOES NOT PRESIJN(g <br /> UTHORTfY TO VIOLA'I'E pg CpN�L � pROVISIONS OF qNy p'�R STATE OR LOCqL LpW <br /> REGULq'I7NG CONSTRUCt70N OR THH pgR�p�qNCE OF CONSIRUCTION. THAT I /�! p�pgI�� BY .fH� <br /> ��✓NER OF'I'HIg pROPERTY TO PERFOR)vf 'I'[�qrpg� FOR WHICH APPLICATTON IS MADE AND I COMPLY WTT'g <br /> 1I�STATE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X _ , <br /> � Signature // // 7� —� Fce <br /> Date <br /> c� a � � 7 <br /> clecoPP(!/S/93� <br />
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