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t�C � � ��_., <br /> y APPLICATION FOR EI.ECTRiCAL PERMIT � <br /> Y N <br /> . <br /> ~y M <br /> rC y (� / CITY OF EV[R[fT <br /> �( 6UILDING DIYISIUN <br /> y N H I�Q� 3200 CmAR STREET <br /> �y [VERETT, MA 98201 <br /> C � �o � 259-8810 d5� — <br /> ` '� .to�' Psv.ti, /�� � Gv�;o,� E✓�-`%% �✓� ��1-�� a7 a <br /> � y ��y tate ip hone <br /> �� wner Mai Address <br /> H <br /> y ~ S���" <br /> �y y �ty tate ip hone <br /> � � r enant Mai ddress <br /> � � 15�A�� L`�E�,T-�c_ /35y 7iaQ�-Es �.�Nc 9r✓R Dv'R. �,�fktil Z�'�a%)3�:;<.i-r; l54L✓r lZiov <br /> �t tate ip hone State icense� <br /> ectrical ontractor ai ddress Y <br /> �OO,�_ l'OR.�- - G�oSe� -Q.�-TN S�� ;`,�•��r�. - <br /> , r��� <br /> roposed se o ui d�ng �,r;' <br /> ontract Pnce o ark �';;�, <br /> < /�.S U✓ii ^ o ��.N L/L' ' ` �'�•��t' <br /> Ar� '� �'-:�•.�• �� <br /> ro,7ect ddress ' � <br /> a'��� <br /> G✓/P-� ro CoPc A�c.neAi,✓c� Ta P�i,vf ` �;� ','i <br /> Discription of Work To Be Done: } � � <br /> '� F'L��i'i?�r F <br /> '� ,�t: a <br /> � �� ����� � <br /> � <br /> ' ar <br /> C'+,` , � �� <br /> : , ,, _.. <br /> � � `•, i, 1� � <br /> � � <br /> '__ ,,._ ..,.;.�,. •, <br /> I ��� <br /> i , <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECiRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR NEALTH CARE FACILITIES <br /> � �� � BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOUS F'UST SHOW THE STATE APPROVED PLANS �EFORE A <br /> II �_' CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINCS IS REOUIRED TO BE IN CONDUIT. <br /> y� <br /> �I� I HEREBY CERTIFY THAT I HAVE READ AND� EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME 70 BE TRUE AND COFRECT.ALL <br /> PFOVISIONS OF LAWS AND OHDINANCES GOVERNING THIS 7YPE OF <br /> � WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �I I • AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAI LAW AEGUTATING CONSTFUCTIOtJ OR THE � / <br /> � PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHOfi1ZED BY T1iE / <br /> �� �pPLEICAOTIONISISaMADE AVOPERCOMPLYH WITOHKT ER STATE FEE J <br /> ���I. CONTRAGTURS LAW 1827 RCW AND 296.200 WAC. <br /> x ,� - -Z'7-�Z- 7�S`f <br /> 5, t��� �,« 3 <br />