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1 <br />U <br />f 1 <br />Ll <br />Ift <br />APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EERETT <br />DIVISION <br />4M7T BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, MA 9820i <br />259-8810 �f /`j�=' <br />�,Lkill <br />C�II�?� C�.����;� �fc.,�crH� �✓ �i'�zo� �Zsy �3� <br />Owner Mail Address Lity State/Lip Phone <br />Tenant Mail Address City State/Zip one <br />k ,?F— — 2 -N,, <br />Hfctriga Contractor MailAddress City State Liip one State tense o. <br />ontract rice o ork roposed, o building <br />GuQ����� <br />i-rroTect Address <br />Discription of Work To Be Done: bul,L e.-' (� ��j L_-�._s <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE 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: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br />I 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 />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 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 PROPERTY TO PERFORM THE WORK FOR WHICH FEE ,/C27 <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature Date <br />