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APPLICATIG 4 FOR ELECTRICAL F:RMIT <br />'(CF <br />,verett <br />)ILDING DEPARTMENT <br />9-aalo <br />011/r- 11.100 <br />iBnwI�lllr 3 t1 Pmr4 n1 � c�1D1� TT c,�)f4 q 2�3 <br />cr pc on o .TorR o a ona: <br />__ � TRLL L/6f/TS y ���F011QCLE�S /GJD VA07-1/[/1 Tie.L) mj CTt/E/r1/CAL l p�f� <br />OTE: MAC 196-16-I0 REQUIRES THAT PLAITS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST. SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />OTE: WIRING III LION-OWELLINGS 15 REQUIRED TO BE IN METAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAG. <br />x � <br />ti t _ &e4M� //- =, O'— )")- <br />SIgnaturs Data <br />FEE �]G <br />& 3f7-�—r <br />