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APPLICATI�N FOR ELECTRICAL �cRMIT <br /> :ITY Cf <br /> evere#�t <br /> BUILDING OEPARTtifENT , <br /> 259-8810 <br /> �eu<e.� /07�' ,�/�f�,• T,�z 9�sr Zc�-a-7s-oi90 <br /> �ener_ Ma d reas �y Zfp P�one <br /> —.d�'I�J <br />� anan�C- �/ a darou �iey Zip Phona , <br /> _��� �r.�s! G . L..a S � 9t/3�l �+aG.s��.s' dv,YN6�•f/y�e-�nar <br /> e er ca ontractor a ress ty p one csnss <br /> --`��� AG�.�i ar �ibl�r <br /> �oneract r ce o MorK , Proposed Use oT-6uiiding <br /> /S/D �,e�t/.«R�L <br /> ro ect aareas S - -- --- <br /> iser pt on o or o s one: • <br /> �J d .�rn.,� ..o�-�� <br /> NOTE: MAC 296-ti6-140 NEOUIRES THAT PlANS FOR ELECTRIGL MORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF MASHINGTON. APPLIGWTS MITH SUCH JO85 MUST SHOM THE STATE APPROVED PLANS BEFORE A <br /> CIiY OF EVERETT PERMIT MILL 8E �SSUED. <br /> NOTE: MIRINC IN NON-DMELLINCS IS REOUIRED TO BE IN METAL RACEXAYS. <br /> I MEREBY CERTIF`: THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF tAWS AND Ofi01NANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OH <br /> NOT. THE 6RANTING OF A PERMIT DOES NOT PHESIIME TO GIVE <br /> AUTHOR�TY TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW HEGUUTiNG CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH FEE 3O <br /> APPLICATION IS MADE AND I COMPLY WITH TIIE STATE <br /> CONTMCTORS UW 18.27 RCW AND 298.200 WAC. <br /> X � ' <br /> G-;-�3 <br /> � 5lynaturo � Uate <br /> 1��� �Q�'�� <br /> �: . <br />;. ; . . . <br />