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--- <br /> APPLICA JN FOR ELECTRICAL �ERMIT <br /> . cin cF �Err <br /> JUi� � '��. {`,�;':j --- BUtIDING DIV{SION <br /> . ���''j� . . ..... 3200 CmAR STREET <br /> ................................................... .. ... EVERE7T, MA 98201 <br /> . � � ��e/� �2oa� C1T;' CF E'.^�I:c17 <br /> z5s-ssyo �o �03 � r-u�u� �•;�o:is ��r.t, <br /> Nw Commercial Zmprovements 12530 35TH Ave SE 338-0933 <br /> �wner Mai Address ity tate ip a^8 <br /> Ck-�irmont Vi]]age 4809 Ev2Tgreen 4daY none <br /> enant <br /> ai ddress ity tate ip <br /> Meridian Cent�s Elec 11109 66TH Ave E P 848-5595 MERIDCE318SG <br /> �a�� <br /> E��ical ontractor ai ddress �ty ate i <br /> p hone tate License Wo <br /> $1800.00 , Commercaal � <br /> ontract rice o or � roposed se o ui ding <br /> 4809 Evergrnen WaY/Godfathers <br /> ro�ect Address <br /> oiscr;pt;on of work ro Be Done: HOokUp hvdC dnd ]S1S�171 `r7d11 PaCiSS <br /> 40TE: WAC 296-46-140 REOU�RES THAT P�NS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J085 MUST SHOW THE STATE APPROVED PL.ANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUE�. � � �� <br /> NOTE: WIRINC IN NON-DWELLINCS IS REOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> ROV 5 ONS OF LAWS AND ORDINAN ES GO ER NG TH SRTYPE OF � <br /> WORK W�LL BE COMPLETED WITH WHETHEA SPECIFlED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �1UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> p77iEp$TpTE OR LOCAL lAW REGULATING CONSTRUCTION OR 7HE <br /> PERFORMANCE OP CONSTAUCTION.THAT I AM AUTHORIZED BY THE $59.00 <br /> APPLICATFONISIS�MADE ANDPERCOMPLY WITHKT ER STATE FEE . <br /> CONTRACTOFS LAW 1827 FiCW AND 296200 WAC• <br /> / <br /> � l�.(/I�wi1-�' c�i`�r" ` `_ <br /> Signature <br /> Date <br /> r�y��7 <br /> �/�.� /G'97�3 <br />