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� ir.>.;-r. <br /> ' <br /> � <br /> APPLICATIUN FOR ELECTRICAL NERMIT <br /> ciTr or rvEa�:Tr <br /> 'x3 F" nunniHc nivisioN <br /> [y � 3200 CEDAR STREET <br /> A x . EVERETT� MA 98201 ' <br /> a H y 259-8810 ,y <br /> t. .�' ���o ;3 �� �.�Ji_ �c�. <br /> � � � <br /> � <br /> ~ n ✓,'l l c�.i�ir.'d.vli���.k,7/ '�?�_lc i.,i i�'G <� '!i'?'iYi_>�:Ji�1.J /J� ��� ' �/l�� <br /> O 'y.L'O ne�—� MaiT�deress ty --�tete P ��� , e,7a7 ., <br /> � V1 H�" <br /> � 'ZpTi enan[ ai ddross ty tate p ane ! <br /> [IHC7 � <br /> n, <br /> �y ������ ��Fv 7'Oi.fT�t�c:s.'.rL � <br /> � (�flQ Electr c�T o�actor F�ell�adresa CCT y 3tate ��—F on�Sta[e cens�— I <br /> 4h]. n <br /> Z+ � • / <br /> y ~ �'�G r.�A <br /> t+ y ontract r ce o ar roposed se o �T�ng <br /> H <br /> g �y �:�.�3 � �-��.J y ;E�ir� ,_�-- <br /> � 1 � <br /> y �y L� � <br /> y DlscripNon of Work To Be Done: � > � ,���-' C«a: _ _ <br /> , I` <br /> ( <br /> � I <br /> � `` <br /> � �� i <br /> NOTE: WAC 29G-06-140 REOU�RES THAT PUNS FOR ELECTRICAL NORN AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES � <br /> �� "�' BE APPROVED BY THE STATE OF WASHINLTON. APPLICANTS WITH SUCH JOBS MUST SHOW TNE STATE APPRO\�ED PLANS BEFORE A ; <br /> - �. ,CITY OF EVEPETT PERMIT WILL BE �SSUED. , <br /> NOTE: MIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. � <br /> 1 �� � <br /> � ,� <br /> I HEREBY CERTIF'f THAT I HAVE READ AND� EXAM�NED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND COFRECT.ALt. <br /> PFOVISIONS OF LAWS AND OROINANCES GOVERNING THIS iYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED NEREIN OR <br /> ~ NOT. THE GRANT:NG OF A PERMIT OOES NOT PRESUME TO GIVE <br /> .1UTHOFITV TO VIOLATE OH CANCEL THE PROVISIONS OF A17Y � <br /> i OTHER STATE OR LOCAL LAW FIEGUUTING CONSTFUCTION OR THE <br /> , I PERFORMANCE OF CONSTAUCTION.THAT I AM AUTHOFIZED BV THE �D <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOfl WHICH FEE <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 18.27 RCW AND 2�AC. <br /> �'� X _ / <br /> / � � <br /> C�- / �� -�—"� �— <br /> ignaGaPe D'1e � <br /> I <br />