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APPLICATIO�� F'OR ELECTRICAL PERMIT <br />�:� l GCI,e I,,, �, .. <br />cin oF EveRErr <br />UUILDING DIVISI01! <br />3200 CmAR STREFT <br />EVEl2ETT, MA 90201 <br />J�.. � �ili .��� . <br />City State Zip Phone <br />Ev� <br />� ,� .�. � n�T� .-,,,,� <br />ontract Price o Work Proposed Use of Building <br />� o c= v�: +:�� ,-c.e,�, t.c�c� : f �= ve <br />�t Address <br />Discriptian of Work To Be Done: �� �(�^ � t�%�✓'� <br />N�TE: WAC 296-40-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />6E APPROVED BY T11E STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. . <br />NOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH�S TYPE OF <br />O T THE GPANT NG OF AD ERMIT DO SE ENOT PRIESUME TO GI�VE <br />AUTHOR:TY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 7}1E <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY 7HE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICIi <br />pPPLICATION �S MADE AND 1 COMPLY WITH TH[ STA7E <br />CONTRACTOFS LAW 1827 PCW AND 296.200 WAC. <br />X�� •,�'/I r 7=!r�� (.4t..n..._ � l�� 'i — <br />�— Date <br />Si�naturc <br />/ <br />FE'e �-; f�, <br />