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APPLICATION FOR ELECTRiCAL PERMIT <br /> cin oF �x�T <br /> BUILDING DIVISION <br /> 3200 CmAR STREET <br /> EVERETT, MA 98201 <br /> 259-8810 Q, �,�/ _ <br /> I��� � � t <br /> �/�KFpL 500,5 G�i�r-,v�ao �✓Ed6i [N/� .�•j hone <br /> Crvner <br /> � Mai Address ity tate ip <br /> J,9M,E S � U�/F hone <br /> enant <br /> Mai ddress ity tate ip <br /> ectr ca antractor <br /> ai ddress ity Jtate ip hone tate icense o. <br /> /CCS iDEsl i i� <br /> ontract rice o Work roposed Use o uilding <br /> 5Q0��,L�G [tICYJ <br /> ro�ect ddress <br /> Discription of Work Ta Be Done: �'IA/J/J/T/L�1I K6 � <br /> NOTE: W�C 296-46-140 REOUIRES THA7 PLA?15 FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITU?IONAL OR HfALTH CARE FACILITIES <br /> OE APPROVED BY THE STAiE OF WASHINCTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPiiOVED °LAPIS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. � <br /> NOTE: WIRING IN NON-DWELLINCS IS REpUIRED TO BE IN CO�DUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> PROV SA01NS OF l.1WS AND OROINAN ES GO ERN NG"fl-IIS TYFE OF <br /> NOT THE GRAN NG OF ADPEFiMIT DO BENOT PRI SUME TO GI�VE <br /> AUTHOflITY TO VIOLATE OA CANCEL THE PROVISIONS OF ANY <br /> OTNER�TATE OR LOCAL LAW REGUL4TING CONSTRUCTION OR TF1E <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THF <br /> �APPLICATIONISIS�MADE ANDPERCUMPLY WITOHKTHE STATt FEE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> x `������ '7-/- y� <br /> oac� <br /> Signaturc �� � <br /> . . , l�� ;�r"�. <br /> :/ <br />