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r- <br /> APPLICATIvN FOR ELECTRICAL r �RMIT <br /> cirr or <br /> everett <br /> BUILDIN(3 DEPARTMENT <br /> 259•8810 � <br /> i <br /> ner a reae ty p o�e <br /> enan s ress p one <br /> _'�C S �yy�- ��`�' S'r�` P�J riio,�� 9d'or z �<f�Z'c,(' �-fZ�c.S'o��G L <br /> ec r ea on rec or a resa ty p one ctns� <br /> on rac r ce o or �•opoee se o u ng <br /> 3�a 3 c,J Ga.S ;��o �a fe E �1� <br /> ro ee aareef <br /> ecr pt on o or o one� <br /> S'ec�r /�-y Go� ✓o /�e5� e <br /> NOTE: MAC 296-ti6-140 FEpUIRES THAT PLANS FOR ELECTRICAL YIORK AT EDUCATIONAL� INSiITUTIONRL OR HEALTH CANE FRCILITIES <br /> BE APPROVED BY THE STATE OF MASHINGTON. APPLICANT� MITH SUCH JOBS MUST SHOM THE STAiE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERH�T MILL BE ISSUED. <br /> NOtEt MIRINC IN NON-OMELLINCS IS REOUIRED TO 6E IN METAL RACEWAYS. <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORIiECL ALL �J t�� <br /> PFOVISIONS OF LAWS A4D OfiDINANCES OOVERNINO THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE aRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OP CANCEL THE PROVISION3 OF ANV <br /> OTHER STATE Ofi LOCAL LAW REQUTA?INO CONSTRUCTION OR TNE <br /> PEFFORMANCE OF CONSTRUCTION.THAT I AM AUTHOfiIZED BV THE �C OCJ <br /> OWNER OF THIS PROPERTV TO PERFORM TNE WORN FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONiRACTORS LAW 1827 RCW AND 298.200 WAC. <br /> x 3 �l' l/�2 <br /> Signature Date <br />