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APPLICA. .�N FOR ELECTRICAL �ERMIT <br /> ..._ .. . _.� C I TY OF EVERETT <br /> F)T UUILDING DIVISION <br /> - 3200 CEDM STREE7 <br /> �$9-88Y� ���, MA 98207 <br /> tJ�e: .)ko;pAc. �a�C �ZG-7 Cv 9fzot o� s9y.3s5� <br /> ner Mai Atldress <br /> . tY tate ip hone <br /> N6Nc <br /> � , renant Maf ddress <br /> '-, tY tate ip hone <br />� � . <br /> ����-' �kANi �CG �X � U!J LU Y�LU3 <br /> - ElecCrica ontractor as�yy�� r�'niv/��IL83cG <br /> ; a� dress ty tate p hone tate icense o. <br /> ��nx a� ✓ cv�r�;EK�,n� <br />� ontraet ce o ore <br /> roposed Use o ui ding <br /> � �?9� 9 C��,6� <br /> ro ect en <br />� - ��— --- / . <br />� Diseription of Work To Be Done: _ A�� �'���J1 �---� <br /> r� <br />� . — <br /> II <br /> I <br /> I <br /> NOiE: WAC 296-46-740 REpUIRES THAT PLANS FOR EIECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEA <br /> BE APPROVED BY THE STATE OF-WASHINGTON. APPLICANTS WITH SUCH JOBS MIIST SHOW THE STATE APpROVEDCPLANSABEFDREEA <br /> ,CI'.Y OF EVERETT PERMIT WILL BE ISSUED, � <br /> NOTE: WIRINC IN NON-DWELLiNCS IS REQUIRED TO BE IN CONDUIT. � <br /> I HEREBY CEiiTIFV THAT I HAVE READ AND' EXAMINED THIS � / <br /> APPLICATION AN�KNOW THE SAME TO BE TRUE AND COFRECT.ALL � S <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF i <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OF <br /> NOT. THE GRANTING OF A PERMIT DOES DlOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STA7E OR LOCAL LAW REGULATING CONSTRUCTION Oq THE <br /> PERFORMANCE OF CONSTAUCTION.THAT I AM AUTHORIZED BY THE / <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH FEE v� " �G <br /> APPLICATION IS MADE AND I COMPLY WIThI THE STATE <br /> CONTRACTORS lAW 1827 FiCW AND 296.200 WqC. <br /> X �i��.��i" / U}—� .i�7� `f 1� <br /> S� na ure , Date <br /> /��� � - <br />