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APPLICAi�N FOR ELECTRICAL PERMIT 3���3 <br /> cirr oF �exx�r ' <br /> �1��DING DIVISION <br /> ' 3200 CmAR STREET <br /> 259-8810 ��, MA 98207 <br /> , <br /> ner lN cG� a ross �30� LS` C /l/G' kl� <br /> tY tate p one <br /> �//✓� <br /> Tenant <br /> e reas <br /> tY tate p onn <br /> L ^rTvnJ sc.++�s r,e/c <br /> eclr ca onLrac[or a ^ J � C/ /'+ c--, <br /> ress tY tata �7�•a"•3 <br /> /j�__ � P one tate cense o. <br /> r �/� r ee o or � �����C� . <br /> ropose se o u aing <br /> �D3 ,�-c,— (°As�n,n R1� <br /> P� � �aaross �G� 3 6 � <br /> DlscripNon of Work To Be Dones EG/�^/ ���J� <br /> n.�,��,�,�s <br /> NO7E: MAC 296-46-140 REOUIRES THAT pUNS FOR ELECTRICAL NORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINCTUN. APpL�GNTS XITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERETT PERM17 MILL BE ISSUED. <br /> NOTEc MIRINC IN NON-D.'ELLINCS IS REOUIRED TO BE IN CONDUIT. � <br /> 1 HEREBY CERTIFY THA7 1 HAVE READ AND' EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> PqOVIS10NS OF UWS AND OFOINANCES GOVERNING THIS TYPE OF <br /> WOFK WILL BE COMPLETED WITH WHE7HEq SPECIFlED HEREIN OR <br /> NOT. TF{E GHANTINO OF A PEqMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOUTE OF CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR IOCAL UW qEGUTATING CONSTRUCTION OR i}iE <br /> WNER OFNTHIS ROP RTYu O'PER ORM TF{E pq�j�Rl OD�B�THH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE � ! �� <br /> CONTRACTOHS LAW 18.27 RCW AND 296.2pp WAC. <br /> � / �1� �-� <br /> Signature Date <br />