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APPLICATION FOR ELECTRI�CAL PERMIT <br /> cirv aF evr�err <br /> � BUILDINC DIVISION " <br /> �� 3200 CEDAR STREET <br /> EVEREfT, MA 98201 <br /> 2ss-asro <br /> �e���t <br /> A�GMR14 G41 Sir�,d) 320 /OS .4v iYr S� ��`r 'fo6 L�e/%� � G✓q 9 Gb� v S�SO-�yo y <br /> w�-��e� ai ddr'T� ess — "�ity�at��p Phone <br /> T�s��•-s �Q �� '���'> Ev re.f-� c�Ja q4�'�z 3 v9 z <br /> F1aiTAadres ity�tat77ip `�ne�— <br /> W;�a.Y/ E/n�}-.z•� G�. �.i.. ll7Sa�a 4,.�//f w N ' S�rflf/ W4 9Sf/zS- 3�s- 2nr u/i �.re; /�//o J <br /> Electrical ontractor ai dr ss ity tate �p one tate icense fTo-' <br /> 0 <br /> s� � G/'o � <br /> t�a n ce o or — ropose s�/�uil i4� <br /> �s?o9- y�X3��� c.l � <br /> -r�o,ec�t 'dd�ess <br /> Discription of Work To Be Done: Zn.S'fn�� /j/e� /dOda 3� /.ZO/2:R'.- sGv✓i�C. ✓�'r ,�-�D �/ ex"� <br /> � �rr <br /> �Q�IG/ <br /> �r���4/I n.Gc� �o0a 3 Ja., � or,b�:::� v- TrA, -o..7f /�S ✓ ��a�'f�c T� <br /> NOTE: WAC 296-46-140 REpI11RE5 THAT PU1N5 FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINCTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL 6E ISSUED. <br /> NOTE: WIRI�IG IN NON-DWELLINGS IS REQUIRED TO 8E IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ ANO' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL . <br /> PROVISIONS OF IAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OH <br /> NOT. THE GRANTINCa OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE Ofi CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> � PERFOFMANCE OF CONSTRUCTION.THAT i AM AUTHOFiIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE� , �. 9� � <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> X � ����� 7� ��� <br /> -Signature �� <br /> ���g� <br /> � <br /> �a <br />