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c � <br /> y[ <br /> 1-3 (A <br /> z <br /> APPLICATIGA FOR ELECTRICAL F L_RMIT <br /> mx <br /> OH <br /> � d <br /> A <br /> 0. 0 nor i <br /> H <br /> everett <br /> H BUILDING DEPARTMENT a7 <br /> O CA y 259-8810 <br /> H <br /> fli C(E�Vrn+1l <br /> 00 Vl ,�/•c�1 e 'A'� —�^�— none <br /> ne1M r a dress CICy tD <br /> Tenant <br /> a res,`xi4ty tY �— one <br /> c�a+•-.( � 4.��L1/.�! 9Bo83 889. 91�ZG_LAAEtEZn'o4C/ _ <br /> ETecCrl cal Contractor Ha, ress Clty t1p ""° °ense <br /> poo.m0 <br /> ontract r ce o 'Nor ruposed Seo u ng <br /> p__dd' q /5/ Go rw TDL 5E <br /> ro]ec[ ddres ---_ <br /> scr pt ono 'Xor o e Done: /` ' <br /> C�j <br /> 1 <br /> NOTEt MAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDPCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCF JOr..i MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METAL RACEWAYS. <br /> ' 'j <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 /> 1� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> r OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE jfj.ea <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Xyh- �/r <br /> 0 .. 4 5 <br /> Signature -- 'Oa iJ J <br /> k <br />