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' APPLI�ATION FOR ELECTRI�,AL PERMIT <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> �e T �7��r .2�-i I�eaa S� E�trt�-qKP03 Z.��^ ��y� <br /> Sf� ME <br /> enant a ress 'AI ty p ne <br /> ectr cC�nu ct�� G� ��t e�JQWE �'�'�1" U��s I� G�p 7U � ���.3� cenaCi—� <br /> c�n <br /> 5 F►� <br /> n ract r ce o or ropoae se o ny <br /> 21�1 � N��ST Sw F�ere-N- � _ ` <br /> ro ect arsas <br /> scr pt on o or o ne: <br /> S �Q Pv� i� U �e � P��e ! � t'�'le+e� 2� .a�p <br /> NOTE: MAC 296-\6-140 REQUIRES THAT PLANS FOR ELECTRtCAL tlORK AT EDUCATIONAL, INSTITUTIONAL OR HEAL'FI CARE FACILITIE: <br /> BE APPROVED BY TNE STATE OF MASHINCTON. APPLICANTS MITH SULH JO&S MUST SFiOM THE STATE APPROVED PLANS BEFORE I <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. <br /> NOTE: MIRINC IN NON-DMELLINCS IS REQUIRED TO BE IN METAL RACEWAYS. <br /> I HEREBY CERTIFY THAT 1 NAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT.ALL <br /> PROVISIONS OF LAWS IWD ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH 1M�ETHER SPECIFlED HEREIN OH <br /> NOT. TNE OMNTINO OF A PERMIT DOES NOT PRESUME TO(iIVE <br /> AUTHORITY TO VIOLATE OH CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW RE6UTATING CONSTRUCTION OR THE ,�/ �p <br /> PERWRMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY T}IE �I � <br /> OWNER OF THI^u PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 298.200 WAC. <br /> ; ��a� � <br /> X ` � �- f�-y �� <br /> Siqnature Date <br />