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APPLICAT�N FOR ELECTRICAL'`'ERMIT <br /> n <br /> �v-� � �,��°��°'���„ <br /> 3200 CFDAR STREET <br /> EVERETT. MA 98201 , <br /> 259-8810 <br /> II'!T� e3�1^i . �72� L�.P�IYYIOYei x <br /> �^ Ma d ress ty tate p hone <br /> �P-�`�-- <br /> W�q• Sa c Sc�.opl a? I We�.vo�c A�� EUeTe�' Wa• <br /> enani a d ress ty tate p a�e <br /> D U9 LoS� �D �30k �`}x4G os<w�fla �, I,ixs- Sc l2�a 4'�3-FjSGU <br /> ecEl�cal onLractor a djess � Statel p one tate cense o. <br /> � 4 sb�. n� � � <br /> oetraM r ce o or � roposed se o u ng <br /> s��,.�. �5 ,-Q���; � <br /> ro ect reas � � <br /> Discriptfon of Mork To Be Done: ��Q LtYr c�-Q L` �hJl.�^—� �-E-��5 � ��TS <br /> hCV-�S lJ���I 1�.5'O� — - <br /> NOTE: MAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIOHAL OR HEAITH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINCTON. APPLIGNTS WITH SUCH JOBS MUST SHOX THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT MILL 8E ISSUED. , . ' <br /> NOTE: WIRING IN NON-DMELLINCS IS REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK W�LL BE COMPLETEO WITH WHETHEH SPECIFlED HEREIN OR <br /> NOT. THE GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOUTE OF CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR THE � <br /> PEFFORMANCE Of CONSTAUCTION.THAT I AM AUTHONIZED BY iHE � <br /> OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> S UW 18.27 RCW AND 296.200 WAC. <br /> X � 3 �3-�'i <br /> � <br /> �gnature Date <br /> q��� <br /> � <br />