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1030 58TH PL SW 2016-01-01 MF Import
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1030 58TH PL SW 2016-01-01 MF Import
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Last modified
4/17/2017 9:18:03 AM
Creation date
4/17/2017 9:17:43 AM
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Template:
Address Document
Street Name
58TH PL SW
Street Number
1030
Imported From Microfiche
Yes
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APPLICATION FOR ELECTRICAL PERMTI' <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> Owner Mail Address City state/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City Slate/Zip Phone Stale License No. <br /> 114 <br /> Contract Pce of Work �t ofx �!t <br /> ��.,� ,,�.�}/ Proposed Use of Building�_1D; N rive <br /> Project Address <br /> Description of Work to Be Done: _ 1 CV t IG( 1(/ y.,t j <br /> r <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> l <br /> �. ]nature Fee <br /> ate <br /> 5 q( / ! deo.rr(3tsros) <br />
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