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A.PPLICATION FOR ELECTRICAL PERI�IIT <br /> Cf1Y OF EVERETC <br /> gtJII_DING DMSICN <br /> ]200 CEDAR STRE� 259•B810 <br /> Eyp�'('I'. WA9820L <br /> Kenneth Young 6013 Meridian Ave. Everett, �WA�' 98203 3 State/Zip4 Phooe <br /> Qwner Mul Address ty <br /> N/A <br /> Teaant � Mail Address . . <br /> Ciry StatdZip • • Phoae <br /> ID#-EM4 <br /> Elxtrical Cootractor Mail Address <br /> City ' Sute/Zip Pbone Stam Liceau No. <br /> �Q5.00 SFIZ - <br /> Contnct Pnce of Work Propo:ed Use of Building <br /> 6013 Meridian Ave. Everett, WA 98203 <br /> Projat Address . <br /> Descriptioa of Work to Be Dooe: <br /> I LOW VOLTAGE$j SEC. SYS. SFR <br /> custq7730-2-1 <br /> NO�:WACARE FACII.I'fIES B�E SAP ORP VED BY TE� ST TE F��+SHINGTON.0 APPLICAM'�W1Tfi SUCIIAJOBS <br /> FiEAI.Tfi <br /> MUST SHOW'CF�STATE A�PROVED PLANS BEFORE CfCY OF EVERH'C PERhiIT��'II-L BE ISS . <br /> NOTE:��G W NON-DWELLINGS IS REQ��D TO BE IN �tETALLIC RACEWAYS (MC A� p`�� � C�LES, <br /> NOT RACEWAYS). <br /> I HEREBY CER'CIFY T EIAT I HAVE RE�D � <br /> EX.4hSINED T:�35 A.�PLICATiON AND KId�W T�S'4ME TO BE TRUE <br /> pND CORItEGT• AI-1- PROVISIONS OF LA�'S �+ND ���N�CES GOVERN'.NG THIS TYPE UF WORK �'�II-I. <br /> COMPLETED �'fCH �h�R SPECIFIED L{ER��N OR NOT. T:-Ic GR.�B`�G OF A PPRM1T 1?�ES NOT PRESUML• <br /> gg�ULpTING CONS'IRUCI'I�N R THE PER��R�`tANCE OF CON TRUCI70��T I AM A�ORIZED BY '1'HE <br /> OWNER OF THI� PROPERTY TO PERFORM 'I'[�WORK FOR«`Fi1CH APPLICATION IS MADE AND I COMPLY�i <br /> Z'I-�S'I'p'('E CON'I'RAGTORS LAW 18.27 RCW AND 296.200 W AC. <br /> X � .,�,�,�c _ l 3 i ��¢ ' F��� 0�" <br /> Date <br /> Si ature . <br /> � <br /> . �I���b <br /> ��«•vo G <br />