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APPLICATI�N FOR ELECTRICAL PERMIT <br /> cirr or EVERErr <br /> oui�niNc oivisioN <br /> 3200 CmAR STREET <br /> �JT EVERETT� MA 98201 <br /> 259-8810 'z-��S -�/,; Z <br /> �_ ' ' �l r �� �, " :.- O .� , /' '.A �� !. �?� �' l.u�1Y ['�LE i. � r Gi.A r1%�1 <br /> ��mcr Mai ddross ty tate ..ip hone <br /> �. .:. 1 / 'I � � J � 4 - __ <br /> ��nant a� ress ity tate �p hone <br /> 3�r�oo � <br /> ,n�� I'/'FI `Y OA�I l� '� f� (� 7- 9S .3/ 3i��� t/L� .�! f ielL[-7-i G �7-cih'a��_ <br /> ca ontractor ai ddress ity State 2� one <br /> r� ' ` <br /> �:�' (_�, .' � __ ' � � — _— <br /> n[ract rice o ork Prnposr.d Us� ui ding <br /> � ') , . ' /jU/�ir� ,^..'. �, �y!<T -------� <br /> 1 <br /> ojec[ Address � <br /> � .� 7 J . I /"' _. 1 •t-$ 7/l L L <br /> scription of Work To Oe Done: __�f%�GK (/ / �� �-" t� `� �,- �'� <br /> —�-- �� r �I i i r � --- �"—� � " v G-.S — a2 .S -� � � rC�lf f�S <br /> +OTE: BECAPPROVED�HO RHOUSTATETOfTWA51NNGTON.ELAPPLICANTS�WKTHTSUCI,CJ065NMUSiIS10WTTfIE STATERAPPROVEDCPLANSA�EFOREEA <br /> CITY OF FVEREiT PERMIT WILI. f7E ISSUED. <br /> :OTL• WIRING IN NON-0WELLINCS IS REOUIRED TO PF Itl CONDUIT. <br /> I HEFiEAY CERTIFY THAT I NAVE READ AND EXAMINED TNIS <br /> APPUCATION AN�NNOW THE SAME TO BE TRUE AND COFRE�T.ALL . <br /> PFOVISIONS OF LAWS AND OFi01NANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHE7NER SPECIFIEC HF.REIN OF <br /> NOT. THE GPANTING OF A PEAMIT DOES NOT PRESUME TO GIYE <br /> AUTHOFlITY TO VIOLATE OF CAVCEL THE PROVISIONS OF ANV <br /> OTHER STATE OP LCCAL LAW REGUL4TING CONS?RUGTION OR THE <br /> PERFORMANCE OF CONSTRUCTIOIL THA1 I AM AUTHOiiIZED BY THE / J � <br /> OWNER OF THIS PFOPERTY TO P9RFORM THE WORK FOR WFIICH FEE ( (,�� /�, <br /> APPIICATION IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW PNC�29G.204 WAC. <br /> l�.. <br /> X _ . ^ . " 1 l <br /> __."_—___. "" _—_—_ <br /> — :1if�IldCllrr .._ �dtl! /f <br /> ) �� � �� <br /> / <br /> J <br />