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APPLICa�ION FOR ELECTRICAL PERMIT <br /> CIiY OF EVERE7T <br /> BUIIDINC DIVISION <br /> 3200 CmAR STRFfT <br /> EVERE7T, MA 98201 � <br /> 259-8810 <br /> i <br /> ��jern„!N C�.o�� Po a�X ��9� ��LU�vG,VAM, H`A <br /> ne�—� Mai Address ity �tate ip hone <br /> �DGL�IS C�fFL� 2D/a /,��/LPo,2T W�j S s6A7T�t� �//Q /���`1' �06 233�2��0 <br /> rnant MaiT�iddress ity �—$tate Iip one <br /> �✓�sr�z.✓/V£a,✓I,v[. Z7�700 ISTjQi�. S �ayr�.�s�rP 9PC3/ 2at �s2-,�r� V�s�N�o9� <br /> ETectrical ontractor ai dress ity ate ip hone tate icense o. <br /> �2500 `-'D . �TRt L <br /> ontract Price o ork � roposed se o uilding <br /> $oUT�✓ �ol.vT pLR�A S.;laPP/NG CG.vT� <br /> ro��ect nddreas E�/E2ETI� A 8Z23 <br /> Discription of Work To Be Done: I/U�//Tli� �lV�. l8 °N K /c.� /4 N Y✓ ��G� <br /> �iQu l'�,/�NN�L /�1�'oni StG�t/ �xT�2la2 . �'ASC�A - <br /> NOTE: WAC 296-46-140 REQUIRES THAT PtANS FOR ELECTRICAL WORK AT EOUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PIANS BEFORE A <br /> ,U TY OF EVERETT PERMIT WILL BE ISSUED. , , ' � <br /> NOTE: WIRINC IN NON-DWELLING5 IS REpUIRED TO BE IN CONDUIT. <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br /> AUTHOFiITY TO VIOLATE Ofi CANCEL THE PROVISIONS OF ANY <br /> O7HER STATE OR LQCAL LAW FiEGULATING CONSTRUCTION OR 7HE <br /> PERFORMANCE OF CONSTRUCTIUN.THAT I AM AUfHORIZED BY THE �` — <br /> OWNER OF THIS PROPERiY TO PERFORM THE WORK FOR WHICH FEE �_���� <br /> APPLICAfION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 flCW ANC 296200 WAC. <br /> X ��� �'9 <br /> Signature Uate <br /> ����� <br />