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5717 25TH AVE W 2016-01-01 MF Import
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5717 25TH AVE W 2016-01-01 MF Import
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Last modified
4/1/2017 12:35:15 PM
Creation date
4/1/2017 12:35:08 PM
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Address Document
Street Name
25TH AVE W
Street Number
5717
Imported From Microfiche
Yes
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� <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUII.DIHG DMSION <br /> 3200 CEAAR STREET <br /> EVEREI'f,WA 98201 <br /> 259-B8i0 <br /> �..Nl�.__Cc.e�s� �-l.c»7 �f.7�' �-SG. ���� l,� Q�� � �f7—�7U1� <br /> Ownu Mail Address City State/Zip Phone <br /> ; �fi0 Cat�1— �.y�? �1�� Drs� �r,L �-tl�, �� <br /> Twant � Mail Address City State/Zip • �ne <br /> e e I <br /> � ��(P�uy �.1',�n�h �'b,l.l ���J /T�`st- ���Q lo C/�sc�ll._ �lF1']-(2Z3`� C.[t�ClL�7LG, <br /> � Elxtrical Contract Mail Address City State/Zip Phone State License No. �, <br /> f ��j� �� , <br /> � Contract Price of Work Proposed Use of Building ', <br /> � � �'�`� l� �� l�v� �'I� - �,-�� � �� <br /> � Project Addreas . <br /> ' Description of Work W Be Done:_��'� Cl /_ h.��. — LC�W �n«nT�p , <br /> J � <br /> � � <br /> � � � � <br /> � <br /> I ' NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTltICAL WORK AT EDUCATIONAL, INSITNITONAL OR <br /> j H&ALTH CARE FACII.I'CIES BE APPROVED BY Tt� STATE OF WASHWGTON. APPLICANTS W1TH SUCH JOBS <br /> j MUSf SHOW Tf�STATE APPROVED PLFiNS BEFORE CITY OF EVERET PERMIT WII.L BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIItED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIF'Y 7'HAT I HAVE READ AND EXAMWED THIS APPLICATION AND KNOW Tf�SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES GOVERNING THIS TYPE OF WORK WII.L BE <br />, COMPLETED WITH WHETHER SPECIFIED HEREW OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR Tf� PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM Tf�WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH <br /> THE STATE CONTRAGTORS LAW 18.2% RCW AND 296.1A0 WAC. <br /> X '�G. <br /> Fx <br /> g re Date <br /> ����j0 <br /> elecepp(3/5/97) <br />
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