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APPLICA� ,�N FOR ELECTRICAL �ERMIT <br /> � citr oF Evr�err <br /> WIIDINC DIVISION <br /> 3200 CmAR STREET <br /> • EVFRETT� MA 98201 <br /> 259-B810 <br /> �dER�/l' LioAlg�'lu�g a�7Z(o- �7'j/a,�,5�. Ec��t�` WfbsR 2��9 /o� <br /> ner e ress <br /> ty tate p ' one <br /> enant a ress <br /> ty tate p one <br /> eetr ea ontractor a reas ty tate p one ta e cense o. <br /> 'f3ee. °�—`' �.�o..,,� , <br /> ontraot r ee o or roposed se o ui ng <br /> ,�7�6- �(an/ �. . <br /> ro eet resa <br /> Diacrlption of Xork To Be Doner � �-�.G�- /y�-,-.-.-a <br /> NOTE: MAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVEU BY THE STATE OF XASHINCTON. APPLICANTS MITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF�EVERETT PERMIT MILL BE ISSUED. <br /> NOTE� WIRINC IN NON-DWELLINCS IS REOUIRED TO BE IN CONDUIT. . <br /> I HEFiEBY CERTIFY THAT I HAVE HEAO AND' EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORHECT.ALL <br /> PfiOVISION3 OF LAWS ANp ORDINANCES GOVERNING 1HIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHE7HER SPECIFIED HEREIN OR <br /> NOT. THE OHANTIN� OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OH CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OH LOCnL LAW REGUUTING CONSTHUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PflOPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS lAW 18.27 RCW AND 29fi.200 WAC. <br /> X,�a.,,�,1,,.�� 7� (�'.�..b�,--, <br /> Signe ure Date <br />