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APPLICATION FOR ELECTRICAL PERMIT <br />� <br />� <br />I <br />CITY OF EVERE77 <br />BUILDING DIVISION <br />3200 CmAR STREET <br />EVERETT, MA 98201 <br />n�_`�Pa�c�ic�^ Mai7 d3s2 S��yn Sco-Gl`.'/� wtat�8/78 77.Z-C.�7..f <br />Y P hon� e — <br />� 8 <br />on� tract P�e � r . <br />�r <br />Diicription of Work To Be Done: <br />u <br />52 <br />/7 G�i G r� �%- i/' 1 n.-r S�+ t7 <br />roposed Use o Bui`�ing � — <br />G <br />NOTE: WAC 296-46-140 REpUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FFCILITIES <br />9E PPPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J�AS NUST SHOW THE STATE APPROVED PLANS BeFORE A <br />CITY OF EVERETT PERMST WILL BE ISSUED. <br />NJTE: WIRING IN NON-DWELLINCS IS REaUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />APPUCATION AND KNOW Ti'E SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AND OR�IflANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE <br />AUTHC�ITY TO VIOLATE OR CANCEL THE PflOVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PfiOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND I CO'rAPLY WITH THE STATE <br />CONTRACTORS lAW 18.27 ftCW AND 296200 WAC. <br />� <br />L��. � ,.r,�--� /0�9/� <br />Signature Date <br />FEE �Q <br />