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APPLICATI�;�I FOR ELECTRICAL ��cRMIT <br />�,r� <br />everett <br />BUILDINQ DEPAiiTMENT <br />259•8810 <br />o [��°.����D <br />� �NuJ <br />JUL � 3 <br />__ ........... ........_................. <br />( : � � ��" eVERETT <br />Uid�;• Ncrndt Counter <br />NOTE� M11C 296-M6-1h0 NEOUIRES THAT PLANS FOR ELECTRICAL MORK AT EDUCAT�ONAL, INST�TUTIONAL ON HEAITH CARE FACILITIES <br />BE APPROYED BY THE STATE OF MASHINCTON. APPLICANTS MITH SUCH JOBS MUST SHOX THE STATE APPROVED CLANS BEFORE A <br />CITY OF EVEREiT PERMIT NILL BE ISSUED. <br />NOTEi MIRINC IN NON-DMELlINCS IS REOUIREO i0 8E IN METAL RACEMAYS. <br />I HEREBV CERTIFY TNAT I HAVE READ AND ExAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFIECL ALL <br />PROVISIONI3 OF LAWS ANO ORDINANCES OOVERNINO THIS T'PE OF <br />WORK WILI. BE COMPIETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS 0: ANY <br />OTHER STATE OR LOCAL UW REDUUTIN6 CONSTHUCTION OR TNE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOHIZED BY THE <br />OWNER OF THIS PHOPERTV TO PERFORM THE WORK FOR WHICH <br />APPIICATION 19 MAOE AND I COMPLY WITH THE STATE <br />CONTMCTORS UW 18.27 RCW AND 2Y6.200 WAC. <br />X ��.�J �'i��'�r��7%Z3�`�3 <br />SIqn�Cur� Det� <br />FEE <br />