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APPLICATi�N FOR ELECTRICAL rERMiT <br />CITY OF EVEREfT <br />�UILDING DIVISION <br />3200 CmAR STREET <br />EVERETT� MA 98201 <br />,� , i , - <br />1��/'��C�l��I��i�.�."� %%L �%��L�«� � i�-.�,/'(�-./�/ � �r���i�� .�- /.. . , � �): ' <br />Orvner--r � hai�� Address � ( \ �t�— �State Zip � Phone <br />enan� — t�fl+ddress City tatc ip honc <br />, -. <br />e <br />i . <br />onCract'P icc o Wo� <br />�)l�� ��� � �'i6�, <br />roject Addressl \ <br />1 <br />I . . / �_ ; - '. <br />Prapo:ed Use of �uilding <br />D?scription of Wo�k To 8e Done: �� i',' i�.` �i l��/�' /��'!��� — <br />� I <br />NOTE: WAC 296-4G-140 REOUIRES THAT P�At,S FOR ELECTRICAL WORK AT EDUCATIONAI, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF Wf,SHINCTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS �EFORE A <br />CITY OF EVERETT PERMIT WILL P.E ISSUED. , <br />NOTE: WIRiNG IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />1 HEREBY CERTIFY TH�T I HAVE READ AND' EXAMINED THIS <br />APPLICATIOIJ AND KNOW THE SAME TO BE TRUe AND COfiRECT. ALL <br />PROVISIONS OF LAWS AND OfiDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHEfHER SPECIFIED HEREIN OR <br />NOT. THE GRANTIKG OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOfiITY TO VIOLATE OR CANCEL THE PflOVISIONS OF ANY <br />OTHER STATE OR LOCAI. lAW FiEGUL4TING CONSTRUCTION Ofl T4E <br />PEFFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED 8Y THE <br />OWNER OF THIS PROPEflTY TO PERFORM THE WORK FOF WHICN <br />APP�ICATION IS MADE AND I COMPLY \YITH THE STATE <br />CONTFACTOfiS LAW 18.27 RCW AND 296.200 WAC. <br />x( _� � ;� <br />_ , <br />l� ,;. . `�, �; <br />,; , � <br />gnature <br />;,_ , _ - <br />Date <br />FEE <br />'`— <br />��?Sl�,�� <br />