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APPLICAnN FOR ELECTRICAV-DERMIT <br />:ITV OF <br />everett <br />WILDING DEPARTMENT <br />?59.8810 <br />1a70o /v•t. 1-z1ltG. Sing ZOIp <br />t� -- <br />Kahane <br />Hi.l ddress ty <br />Owner <br />� (4-' — <br />o ett ddres <br />scrip- tin °T <br />NSTITUTIO <br />HEALTH <br />ARE <br />tIOTE: gECAFFROVEDIBY THEUSiATETOFTXASHNNGTON.ELAPPLICANTSOWITHTSUCH EDUfJOBS NMUST ISHOW THE STATERAPPROVED GPLANS FACILITIES <br />EBEFOREA <br />CITY OF EVERETT PERMIT RILL BE 155UED. <br />NOTE: WIRING IN NON -DWELLINGS IS 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 />EGULATING CONSTRUCTION OR TFIE <br />OTHER STATE OR LOCAL LAW R <br />PERFORMANCE OF CONSTRUCTION. "TITAT I AM AUTHORIZED BY THE <br />APP.ICATIO ISSPROPERTY <br />MADE ANDPI RCOMPLY FORM WITH KTHE STATE <br />OR WHICH FEE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAG. <br />Xp <br />- Date <br />Signature <br />Y" <br />