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1 <br /> �, <br /> � <br /> � <br /> � � � i' � APPLICA� �ON FOR ELECTRICAL r'ERMIT <br /> � � , <br /> N � n f.ITY OF EV[R[fT <br /> p .� BUIIDING DIVISION <br /> Ov M ro 3700 CmAp STREET <br /> � � � . EVERETT� MA 98201 <br /> 259-8810 � <br /> ♦ <br /> � � �'i <' � . f � , ! ! <br /> N ` <br /> M � ner ai � ddress ity [ate p one <br /> M <br /> N I <br /> M I <br /> y M enant ai ress ty ta[e ip one <br /> tC y <br /> i <br /> � 1 �r � r'.,._ , � �'i �t l�q 1�,_' . � 1..�.. ".,<, , i l� , /''"7' 1. �'=� l; . <br /> � y ectr ca ontractor �eTT� d �esA d s ty tate p � �one tate c�ense�o. <br /> ;�" ! - �,', ,/ <br /> on[ract r ce o wor ropose se ol uiTing <br /> � 'l l 5� C� . � �,r � <br /> r��ject d ress � <br /> DlecripNon of Work To Be Done: ' /. , � i � q , { , <br /> I ��`, I <br /> 1 —� <br /> L�' NOTE: WAC 796-46-140 RFOUIRES THAT PUNS FOR ELECTRILAL WORN AT EDUCATIONAL� INST�TUTIONAL OR HEALTH CARE FACILITIES <br /> ' BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITN SUCH JOBS HUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> � CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> � <br /> I 1 NOTE: WIRING IN NON-DWELLINGS IS REpUIRED i0 BE IN CONDUIT. <br /> � <br /> I HEREBY CEflTIFV THAT I HAVE REAO AND� EXAMINED THIS � <br /> �1� APPLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � PROV�SIONS OF UWS AND ORDINANCES GOVEflNING THIS TYPE OF � <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � ' AUTHOFITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANv <br /> �I� OTHER STATE OR LOCAL UW FlEGUUTING CONSTRUCTION UR THE <br /> � � PERFORMANCE OF CONSTAUCTION.THAT I AM AUTHOFRED BY THE � � <br /> �� OWNEfl OF THIS PROPERTY TO PEPFOPM THE WOFiK FOR WHICH FEE � � <br /> , APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS UW 18.27 HCY!ANO 296.200 WAC. <br /> ��_ <br /> X � � ' - <br /> -� i, f �. �" � ' � - /q�. <br /> SignaCure) � Date I <br /> , , ��-i 1 Y', <br /> / �? `�/ i <br /> I <br /> � <br /> � <br />