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APPLICATiON FOR ELECTRICAL PERMIT � <br /> ciTr oF �err <br /> BUIIDING DIVIS�ON <br /> 3100 CmM STREET <br /> EVERETT� MA 98201 <br /> 259-8810 <br /> .�ho �oM •sti �ounty l/" �f� �f/rrr // GUA <br /> ner a A dress t�—�ate p hane <br /> O CA /�'� �a S�`. <br /> enant e ress �1 G Cy tate p one <br /> �� v �8� �? vi�l/EEG/Y/NA <br /> l�Q��CV t� � ��J`� .(�rr��rvMe� Y ✓IfG4rnonP �//er. '/�S:GGOI <br /> eE�fcTtanCractor a dress t t�! one tate�ensu �o— <br /> / 807 Oo O . '� 0 {'��c r' — <br /> ont c�r c�e u7�oT ropose se o u d ng <br /> i J .2O G�Q�� T . �57�. <br /> ro eCt aress <br /> Discription af Work To Be Done: /ye�d Or�,GQ s�Ot r o ctY/+� �d � .f' � <br /> T <br /> � YCMO �C� �llYz�oU< C <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELFCTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR NEALTH CARE FACIIITIES <br /> 9E APPROV[D BY THE STATE OF WASHINCTON. hPPLICANTS WITN SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY QF EVF.RETT PERMI�f WILL BE ISSUED. � <br /> NOTE: WIRINC IN NON-DWELLINCS IS REOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFV THAT I HAVE FlEAD AND� EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TqUE AND COFRECT.ALL <br /> PfiOVISIONS OF U1WS AND ORDINANCES GOVEPNING THIS TYPE GF <br /> WOFK WILL BE COMPLETL'D WITH WHETFIER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO,IVE <br /> AUTHORITV TO VIOUTE Ofl CANCEL THE pROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONuTRUCTIOi:OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED 8Y THE <br /> OWNER OF THIS PROPERTY TO PERFOFiM THE WORK FOR WHICH FEE L� `' ' ��� �rL <br /> APPLICATION IS MAOE AND I COMPLY WITH THE ST�TE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> n <br /> / <br /> � <br /> X � 1i /�7/) s� n.^' 7`<" 7- �.Z <br /> Signature Oate <br /> �j ti� <br /> 3 <br />