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� "'. , <br /> APPLICAI �dN FOR ELECTRICAL PERMIT <br /> cin oF Ev�rserr <br /> BUIIDING DIVISION <br /> . � 3200 CmAR STREET <br /> EYERETT, MA 98201 • <br /> 259•8810 � J <br /> Yl�/ <br /> Q��- /�il,� � � � <br /> ner a ress ty tate p one <br /> �t U 1</� <br /> enant a �aress ty tata p one <br /> �Cf2�/-�S LI�C �f2.� C� <br /> ETec�� oneractor a �Cddress ty tateT p one tate een�se�o: <br /> �-�" �%��v � ��Z//! <br /> ontraet r ce o or '�op�se3 se o ui ng <br /> 3o a 3 ' �y 4��z� � ��.�r_ �o- zd <br /> ro act ross <br /> DiscNption of Wor� To Be Done: �-� �-✓� .�*�/ � "�"+�L�L� CLS�_. � <br /> yo,;�, <br /> , <br /> NOTE: WAC 296-46-140 REOUIRES THAT PIANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINCTON. APPLICANTS MITH SUCH JOBS MUST SHOW THE STATE APPROVED PUNS BEFORE A <br /> ,CITY OF EVERETT PERMIT WILL BE ISSUED. , � <br /> NOTE: MIRINC IN NON-DMELLINCS IS REOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE HEAD AND' EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND COHRECT.ALL <br /> PHOVISIONS OF IAWS AND OHOINANCES GOVERNING THIS TYPE OF l//� <br /> WORK WILL BE COMPLEfED WITH WHEfHER SPECIFIED HEREIN OR �' �j, �� ' 7" `�"� <br /> NOT. THE GRANTING OF A PER611T OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY �'� � � yo-a� <br /> OTHER STATE OR LOCAL UW REGUUTING CON5THUCTION OH THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOHIZED BY THE � 2 �� ci/O '-'� � <br /> OWDlEF OF THIS PROPERTY TO PERFORM THE WORN FOfl WHICH FEE � ' <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> x . �� �9'�'/3 J <br /> -�� ��� �_ ,_ <br /> Signature Date <br /> 3 9�a/ a � <br />