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823 110TH PL SE 2016-01-01 MF Import
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823 110TH PL SE 2016-01-01 MF Import
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Last modified
4/14/2017 5:34:18 PM
Creation date
4/14/2017 5:34:16 PM
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Template:
Address Document
Street Name
110TH PL SE
Street Number
823
Imported From Microfiche
Yes
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� <br /> , <br /> � <br /> I <br /> , � Al'PLICAI'ION I�OR rL1'sC'TRTCAI, PI?Rn7I"1' �� <br /> � �{C�siC <br /> y ' <br /> C M CIl'S' OF PV'GItI1Tl� <br /> .�i y y !tUILDING UIVISION � <br /> 32U:1 CLUAR STREET <br /> yK' O GVcRC•TT, WA 9820I 259-0810 <br /> OSO <br /> 'il 1-� 'V <br /> yNH <br /> x['� �Q L C � 1 1 � �Y�'� �� � � � � � � � - L vi'�.�"f-� �l_'l� �`'.iC.;;� ;. � 1 ���.' � l <br /> O H � Owncr Mail Address City Cta�c/Zip Phune - -- <br /> � �8 <br /> �V �] <br /> zH :.< < ��C - — <br /> � H Tcnanl Mnil Address Gly Slale/Zip Phunc <br /> HH <br /> y I <br /> F.� c ' _ <br /> �� v, �_LE' 1 ,.� , � i i � ` � . �� �'L, Uwhe� --- <br /> r Glrctrical Contractor Mail Address Cily Slnle/Zip Phone State License No. <br /> y [�1 > <br /> HOf�i� _.. ,_� , , � <br /> � <br /> � Cunlr.�c� Price o(Work Propused lisc��f 1luilJinF. <br /> � <br /> , � � � � i in ��� (�I .� E� <br /> ' Prujecl Addrrss ^ � . <br /> � 7 q � � 1 <br /> ' �� Ilrr..:iiption of Work to Be Dune: �� ti�� ��' 1 [ci.X_ � �'. ; I;_ � � ��,�� .-� � � C � /�--. <br /> ' �� <br /> i _, <br /> NOTG:WAC 29G-46-140 RGQUIF.ES TNAT PLA�S fOR ELECTRICAL WORK AT EDUCAl70NA1., INSTI'PUiIONAL OR <br /> �� HEALTIi CARL FACILITIf.S IiL APPROVE6 [iY TFIE STATE OF WAS1{INGTON. APPLICANTS WITH SUCiI ]OF35 <br /> MUST SHOW TfiG STA7'C• APFROVE•D FLANS BGfORG CITY OF GVERET PGRMIT W1LC. RF.ISSLIED. <br /> NOTG:WiRWG IN NON-DWL•LLINGS IS RfQUIRGD TO RF IN MG7'ALLIC RACEWAYS (MC AND AC, ARE CAULES, <br /> �� NOT RArEWAYS). <br /> I FifiRG6Y CGk fIFY T31AT I FIAVE READ AND GXAMINBD TI{IS APPLICATION AND KNOW T[iE SAME TO I3E TRUE <br /> �'� AND CORRF:CT. ALI. FROVISIONS OP LAWS AND oRUINANCES GOVFRNING TIiIS Tl'FE OP WORK N'li.l. BE <br /> ` COMFLLTLD W17'H �JIIETHGR SPFCIPILD HLREIN Of NOT. TNC• GRANTING OF A FGRM[T DOES NOT PRESUMG <br /> TO GIVG A�ITHORITY TO VIOLATG OR CANCGL THG PROVISIONS Or ANY OTHtiR STATE OR LOCAL LAW <br /> R1iGULATINC CONSTRUC7'ION OR THG PGRFORMANCE OP CONS7RUCi]ON. T1iA'I' I AM AUTHORIZI:D Itl' TIIG <br /> OWNGR OP 7'HIS PROPGRTY '1'O PGRPOP.M THL WORK POR WIIICII APPLICA'i'ION IS MADL AND 1 COMPLY \4'ITH <br /> l'IIF: S'1'A'I'G CONTRACTORS LA1V IA.27 RCW AND 2"G.3(IU N'AC. <br /> J/ � <br /> f-� � <br /> � �1° � ' � b 31<-- — <br /> , , � ,•,. <br /> _ �� <br /> L , <br /> �- —�, — - - - - - - - - - i • - _. . <br /> ---s����,:����«• ,:���• <br /> ���.,��, ��;- ,,,, <br />
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