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� � � APPLICATI�ON FdR ELECTRICA PERMIT <br /> ry y �//��� CITY OF EVFREfT <br /> �t � � �C_�/__ QUILDING DIVISION <br /> '���"9�!! 3200 CFDAR STREET <br /> '�C y H �� �'ER�T, MA 98207 <br /> � � � 259-8810 <br /> ro � <br /> � � � �1� A � nr . 3 20 -�����y6 C,' ,f� � �cr�u�9RC.r�� �/5,>'-(�.3� <br /> � � S ner Mui Atl-1 dress lity Cat�ip �o�e <br /> 0 <br /> � H � �ls�lav � �'uS-��.��iP ��'ui�n'u �� �I�,� fi i�rar�ori 1lI���� �U2;'��i- bL � y 2G3 <br /> t+ H cT �a�t a ddY 55 i City tate ip \ hone <br /> y ~ G�J <br /> � dC ti SOn �fi'bl �a;�-1 - ('al � �n-aC� �h,� ���+ lv�l ��"�G1 �ss-��s� Sc�NT i��.� <br /> � y N lectncal ontractor MaiT ddress —City Sta e Zip one tate icense o. zi � �Jq <br /> O N � <br /> 3, �50 P �'�-`-�.L <br /> �ontract Pn ce b Work �ro osetl Use o ui din <br /> �I� <br /> F'ro�ect�ddresq <br /> Oiscription of Work To Be Done: I��).�i ���� � �I,C, v b�,�Y ��1, 1 A��LL���I �` ���J I Lll,( - <br /> � <br /> I ��j' <br /> � <br /> � ��,� <br /> �. �+ NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WOfiK AT EDUCATIOtiAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> , BE APPROVED Bl' THE STATE OF WASHINCTON. AppLICANTS WITH SUCH J005 MUST SHOW THE STATE APpROVEO PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> '�� ', NOTE: WIRING IN NON-DWELLINCS IS REOUIRED TO dE IN CONDUIT. <br /> I �� <br /> ' 1 HEREBY CERTIFY THAT I HAVE REAO AND' EXAMINED THIS <br /> � APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> '�, �' ' PROVISIONS OF LAWS AND OROINANCES GOVEFNING h115 TYPE OF <br /> , WOFiK WII.L BE COMPLE7ED WITH WF{_c7HER SPEGFIED HEREIN OR <br /> � � NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> - AUTHOFITY TO VIOLATE Ofl CANCEL THE PROVISIONS OF ANY <br /> � OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> ' � PERFORMANCE OF CONSTRIJCTION.THAT I AM AUTHOpIZED B'f THE 4� <br /> �i�. � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOfi\YHICH FEE ���. � <br /> � APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � CONTRACTORS iAW 18.27 RCW AND 29d.200 WAC. <br /> I\ e! �. X � / 1 n � <br /> \-. _ /�/f.f,/it/7�6P `(/L'I�C � Y1. <br /> Signatu,-c Oate <br /> ��,1D1� <br />