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APPLICAT�N FOR ELECTRICAL rtRMIT <br />arv cF <br />everett <br />BUILDING DEPARTMENT <br />259•9810 <br />� <br />2�i1 T�ylo� D�. <br />=j �S Z03 <br />P <br />�' <br />_ � �� �.•� � �. <br />• _...,.,.�.... <br />I <br />lns�u�l <br />.��: <br />Cc� ✓� <br />� <br />NOTEs MAC 296-4'u-1�0 REpUIRES THAT PLANS FOR ELECTRIGL MONK �T EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACIIITlES <br />CI �F�EVEItETT PERMITTMILI BE HSSUEDN� �PLICANTS MITH SUCH JOBS MUST SHOM THE STATE APP(IOVED PLANS BEFORE A <br />NOTE: MIRINC IN NON-DYIELLINCS IS REOUIRED TO BE IN METAL RACEXAYS. <br />1 HEREBY CERTiFY THAT 1 HAVE READ AND EXAMINED THlS <br />AppLICA710N AND KNOW THE SM1E TO BE TFiUE AND CORRECT. ALL <br />PHOVISIONS OF UWS AND ORDINANCES GOVERNIN6 T11S iYPE OF <br />H�O .�T TFiE 6RANTOIN6 OF A PERMIT�DO SENOT PRESUME TO GNE <br />AUTNOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGUIJ�T�N6 CONSTRUC?1CN OR THE <br />pEqFpRMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND I COMPLY WITH TME STATE <br />CON7MCTORS UW 1l.27 RCW AND 296.200 WAC. <br />X � '8` 3 �2 <br />SI ura Dete <br />FEE V V � <br />3,�� s�l� <br />K <br />