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259-8870 <br />APPLICAI"'"�`�N FOR ELECTRICAL�'ERMIT <br />'��'��� i�� ������1 <br />............ . ... ..__....... <br />/ . , ___ ............... <br />% �' � _��� <br />����� ,. <br />�7ni �-��F .�. � �_ i_ _ ,•� <br />ss /r(�`•�� ��� C t State/zip <br />/� �/.��i3 <br />CIiY OF EVERE7T <br />&11LDING DIVISION <br />3200 CmAR STREET <br />EVERETT, MA 98201 <br />enant a� Odrass ity tate ip hone <br />� <br />t�ectrlcal Contractor Mait Address <br />i�nr.�P� �iI,�YJ �l <br />a�act r ce o or <br />� <br />S�n�iLe t�i��2,/u /'t'SidC'�['� <br />—Fr000seA'�O�se of-6u'iTi <br />DiscripCion of Work To Be oo��: r�rerir��ire�� `f- /���YlVi`` <br />NOTE: WAC 296-46-740 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT E�UCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY TFiE STATE OF WASHINCTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. . � , <br />NOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE FEAD AND' EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PflOVIS�ONS OF LAWS AND OFDINANCES GOVERNINC THIS TYPE OF <br />WORK WILL BE COMPIETED WITH WHETHEA SPECIFlED HESEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOAITY TO VIOLATE Ofi CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OF LOCAL LAW FiEGUTATING CONSTRUCTION Ofi THE <br />PERFOfiMANCE OF CONSTRUCTIUN. THAT I AM AUTHOfiIZED BY TH"c <br />OWNEfl OF THIS PROPEFTY TO PEFFOFM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW iB.27 RGW ANO 29fi.200 WAC. <br />�` A:c�iiiLe �qGitJ ��—/O �%�i <br />Signature Date <br />.�� �� � � � <br />lU/G� i�s�o <br />��J`-ed <br />FEE <br />/4�a�y rcoz.v�- �x,o�c�i�� <br />