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-� 1 <br /> i� <br />� I <br />� <br /> � <br /> APPLICATIUN FOR ELECTRICAL NERMIT >>�;�ic � <br /> � � <br /> y CIIY OF EV[AETT <br /> � H � IIUILDING DIVISION <br /> a y y 3100 CF31�R STRF[T <br /> EY[R[TT, MA 90201 <br /> y �H 259-88f0 <br /> K c� <br />� y� . i ; <br />' �i1H�C � .��inin��..i �Ji'� /l� i � � " , �7 - � �, . � ��� I � (_ ,Y���. 1 � I�"� '�'''L7�; l ��� �1 � -_'/> <br />, y H ntfer Mat dd�T ress �[y Ca[e honc <br /> I xo <br /> H <br /> O �� enT anC e ress �ty tate i�—PFone <br /> g '> . <br /> I x H� �m lT.�. � .�. , / � /�.:/1�_� l :..,� `'�5i.'v id .�/./ t� I_ %. '�.. C��<I Sn),`,rr 1� � I!- ' I <br /> � y� �ecCrica n� actor� a� dl�d�ess t�{�—State p '�P aneF-3 a�e CTcenae� <br /> �`'O <br />� r+ - 4�� ��� � j � <br /> C7 yH � �'� ,:�r — �__.��u!i—�— <br /> � �y on[ract r ce o or '�'r�pose se o kiuiltl ng <br /> i <br /> � �� � �"- �.'��Jy e' �� AF' '(� <br /> H O!y/� �o�ect�dFess ' /Qe y.�, . <br /> ` /1', -�, <br /> Diacrip[lon ot Mork Tn �e Donc: }. /, _ � ��� / �( //�. {, ,,,_ _ )�� . .�y_ <br /> ' � <br /> �1 <br /> �� �' — <br /> r.. � — _ — <br /> NOTE: WAC 296-46-140 REGUIRES THAT PlANS FOR ELECTRIGL WOPK ni [PUC1ilONAI , IN;TIiU110NAL OR MEALTH CARE FACILITIES <br /> OE APPROVEU �V TNE STATE OF WASMINCTON. APPLIUNTS wlln ;PCN JOf.S Mll]i tili0d iNF. 51AiE nPPROVED PLANS 06WRE A <br /> �� �' CIiY OF EVERETT PEflN1T WILL OE ISSiIED. <br />, � � <br /> NOTE: WIRINf, IN NON-DWELLINCS IS RFOUIRF.D 10 HE IN CONDUIT. <br /> !"'�! I HEREBV CEFTIFV THAT � HAVE READ AND EXAMINED TM6 <br /> APPLICATION AND KNOW THE SAM[TO BE TRUE AND CORRECi.AlL <br /> PFOVISIONS OF UWS AND OROINANCES GOVEFNING hil5 TVPE CF <br /> ( � ' WOFK WILL BE COMPLETED WITH WHETHER SPEpFIED HEREIN C�i <br /> f �..� NC�T. THE GRANTING OF A PERMIT OOES NOT PFESUME TO GiVE <br /> AU7HORITV TO VIOIATE OFl CANCEL THE PFOVISIONS OF ANV <br /> OTHER STATE OR 1�JCAL UW REGULATING CUNSTRUCTION OF THE � <br /> .� PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY TNE ' <br /> �I I OWNER Of THIS PROPERTY TO PERFORM ?NE WORK FGR WHICH � � �__ _ <br /> FEE �; <br /> APPLICATION IS MADE ANO I COMPLY WITH T'H[ iTATE — <br /> GONTRACTORS LAW 1627 PCW AN�1?6200 WAC. <br /> X / <br /> j - •. , <br /> Signa[ure .�.—��__'_"_" Oate _._—_ <br />