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� <br /> .. a.� <br /> �: <br /> u <br /> ' <br /> APPLICA�IUN FOR ELECTRICAL NERMIT <br /> / � cirr or rvr.nrrr <br /> ��� �y� nuitniNc nrvisioH <br /> 3200 CmAR STREET <br /> � � EVERETT, MA 9fl201 <br /> ayy � 259-8ato <br /> r / <br /> y � GYLE E ,B � �' <br /> .e n �f� f? f�.roT�C�n �� �ir'v1o.� .�r5=�/72.s— <br /> O �O inner ai �ddress ity [a[e p hone <br /> 'b N'{I <br /> fn H � <br /> � �p� �enant a dress ty tate p �� � <br /> H C7 � <br /> ON <br /> � �g� �1� ,. ettr ca ontrac[or at d ress ty tate p one [ate cense �— <br /> 9H� �r /\ <br /> t� H y .ontroct r ce o or ropose se o u d ng <br /> g d y /,P3a? �i��y <br /> �r 7roject ddress <br /> HOv� UlscripHon of Work To Be Done: ��,p6//J`-�Y �G�� �U/�� <br /> � � <br /> � <br /> .�.. � <br /> —.- .,� NOTE: WAC 296-46-140 REOUIRES THAT PlANS FOR ELECTRICAL WOflK AT EDUCATIONAL� INSTITUTIONAL OR IIEALTH CARE FACILITIES <br /> � � BE APPROVE� BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J005 MUST SNOW T!{E STATE APPROVED PLANS BEFORE A <br /> � '� UTV OF EVERETT PERMIT MILL BE IS�UED. i � <br /> NOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT, I <br /> � � � <br /> � � <br /> I HEREBY CERTIFY THAT I HAVE FEAD AND� EXAM�NED TNIS ' <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL . <br /> I4{ � PROVISIONS OF UWS ANO ORDINANCES GOVERNING THIS TYPe OF <br /> "'� WOFK WILL BE COMPIETED WITH WHETHEF SPECIFIED HEREIN OR <br /> NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFiITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANV <br /> � � � OTHER SiATE 9R IOCAL LAW REGUUTING CONSTRUCTION OR iHE �� <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE �. � <br /> OWNER OF THIS PROPERTY TO PERFORM iHF. WOFK FOR WHICH FEE ' •> > i <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE — <br /> ;I'; CONTRAGTOR§LAW 10.27 RCW AN�296200 WAQ ��, <br /> � /'I <br /> X � � � ����� <br /> 5 nature Date <br /> I � <br /> � <br /> � <br /> 1 <br /> i � <br /> I <br />