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��� m ���"�� APPLICATION FOR ELECTRlCAL PERMIT <br /> � � � <br /> Q � � � ��3 0 318 5 pu��Hc o vis or� <br /> M y M r� 3200 CmAR STREET <br /> ` EVQ2EIT� MA 98201 <br /> o� � � 259-8870 <br /> � '� � G703A Olympic Drive E:• <br /> erec, WA 98203 353-5970 <br /> � David Afc Coy hone <br /> �y �ty tatc ip <br /> ~ Owncr Ma� ddress <br /> M <br /> � y <br /> � Op N �ty - �tate �p honc <br /> � pp � cnant --Fail ddress � <br /> "a y 623 Strander Alvd Tukwila,ldA 98188 575-0497 RRINKIIS 148 I.1 <br /> Srinks Home Security �t tace �p none tate icense o. <br /> ectrical on[rac[or Mai ddress Y <br /> Kesidence � <br /> SS289 .00 <br /> ontract Price o Work Proposed se o Ouilding <br /> 6703 A Olympic Drive, Everett, ldA 98203 <br /> roject hddress <br /> Discription of Wark To �e Done: <br /> Intrusion alarm <br /> ��C� - <br /> 1 __ <br /> �__� <br /> NOTE: WAC 29G-�6-140 REOUIRES TNAT PlANS FOft ELECTRICAL WORK AT EDUCAT�ONAL� INSTITUTIONAL OR HEALTII ChRE FACILITIES <br /> �� pE APPROVED 6Y THE STATE OF WASHINGTON, APPLICANTS WITH SUCH J065 MUST SHOW THE STATE APPROVED PLANS BEFORC A <br /> I ��I CITY OF EVERETT PERMIT WILL �E ISSUED. <br /> NOTE: WIRING IN IlON-DWELLItJGS IS REOUIR[D TO BE Ik CON�UIT. <br /> !1 1 I HEREBY CEFTIF\' THAT I HAVE READ ANU EXAMINED TNIS <br /> APPLICATION AND KNOW TFiE SAME TO BE TRUE AND COFRECT.ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> a _ WORK WILL BE COMPLETED YJITH WHETHER SPECIFIEO HEREIN OR <br /> =1 ' NOT. THE GFANTING OF A PEflMIT DOES NOT PRESUME 70 GIVE <br /> 01HER STATE OR LOCAL lAW EGUV+TING CONSOTRUCOT ON OF THE <br /> I FEFFORMANCE OF CONSTFUCTION.THA7 I AM AUTHORIZE�BY THE $30 .0 0 <br /> 'I 1 OWNEF OF THIS PROPERN TO PERFOF7M THE WOFK FOR W�IiGfi FEE <br /> � _1—' qppLICATION IS MADE AND I COMPLY W�TH lHE STATE <br /> \ CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br /> / <br /> r � <br /> X///� /� <br /> 1//�/�/�/� /\ fi( /77��"T� �- �- � ji � ' •_ . . i _ ' <br /> Date On, <br /> Signature �' 1 J 19g� �� .- ' <br /> I,:; �� ��,_L�'�RETj'..... :��'Y�' J <br /> '' fY - <br /> ,_ lCul,. Dcpt G _ <br />