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5710 10TH DR W 2016-01-01 MF Import
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5710 10TH DR W 2016-01-01 MF Import
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Last modified
4/3/2017 8:09:59 AM
Creation date
4/3/2017 8:09:52 AM
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Template:
Address Document
Street Name
10TH DR W
Street Number
5710
Imported From Microfiche
Yes
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I <br /> APPLICATTON FOR �LECTRICAL P�RMIT <br /> CIT'Y OF EVERETT <br /> IIUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 982U! <br /> 259-88Y0 <br /> SELECT HOMES <br /> Owner Mai! Address City State/Zip P6one <br /> Tenant - � � Maii Address City State/Zip � Phone <br /> LM-3 <br /> Electrical Contractor Mail Address City State/Zip Phone State Liceose No. <br /> 2000.00 RFSIDFNCE <br /> Conlract Price of Work Proposed Use of Building <br /> 5�10 10th DR. W. (LOT 1b) <br /> Project Address <br /> Description of Work to Be Done: 200 AMP SERVICE� II,EGTRICAL WIRIT�:G, T—STAT <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTTONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH ]OBS <br /> MUST SHOW T'f�STATE AP?ROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELJ.INGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE REP.D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND COFtRECl'. ALL PROV]SIONS OF LAWS AND ORDINANCES GOVERNING TFiIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTTON. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTl' TO PERFORM THE WORK FOR WH1CH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � f � ^ � ( / <br /> �'o r� <br /> Signature Dale <br /> (/ � ��� � <br /> `� decepp(!!5/93J <br />
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