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APPLICAT�N FOR ELECTRICAL� rERMIT <br /> �r� <br /> cin oF evEaerr <br /> y y [lUIL01NG DIVISION <br /> �".�7 H 3200 CELpR STREET <br /> 9Hti <br /> EVEREfT� MA 98207 <br /> y �H 259-88i0 <br /> � <br /> o xo � ���� i , � - �� ':�'��=t <br /> �J�� �t�.C_ �%';��c / 3-1,� <br /> � �'�� wncr �� Mai Addrcss �ity tatc Cip hone <br /> V1 H <br /> [+7 O L'1 <br /> Q H d enant Mai ddress ity tatc ip hone <br /> H �g . <br /> �" � ��J���-e����� '< '�c�s "f � l��- SCv (7�� e�'' C�7I �'I�03�, �i��/�/P� /u���'�>7�� <br /> ~ q �ctrica ontractor MaiTAddress ity —�tate ip hone tate icen,e o. <br /> 'Z H 3 <br /> � H t+� ,(/ /J <br /> r-�H /�"�z� `"' I���-�fLs-,�_t <br /> g � ontract rice o work roposed Use o ui ding <br /> H <br /> C] C y <br /> � �r /l � 9 G�e �r�t�i' �1 <br /> y y y rP oject dress <br /> HOC� � / � <br /> Discription of Work To 8e Donc: Lvv.� ? L--9�� L Sr.✓���'�-°'l 1 � �S <br /> ''� <br /> �� <br /> �� <br /> w. �! <br /> NOTE: WAC 296-46-740 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTN CARE FACILITIES <br /> BE APPROVED DY THE STATE OF WASHINGTON. APPI.ICANTS WITN SUCH J095 MUST SHOW THE STATE APPROVE� PLANS BEFORE A <br /> `++�' ,CITY OF EVERETT PERMiT WILL BE ISSUED. . <br /> ��" NOTE: WIRINC IN NON-OWELLINGS IS REOUIRED TO OE IN CONDUIT. , <br /> a" — <br /> ..�I � I NEREBY CERTIFY THAT I HAVE READ AND� EXAh11NED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND COFFECT.ALL <br /> PqOVISIONS OF lAWS AND ORDINANCES GOVERNING THIS TYPE CF <br /> ��•-��.�. WORK WILL BE COMPLETED WITH WHE7HER SPECIFIED HEREIN GR <br /> �_y; a NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOI.ATE OR CANCEL THE PROVISIONS OF ANY <br /> � OTHER STATE OR IGCAL LAW FEGULATING CONSTRUCTION Oq THE <br /> PERFOflMANCE OF CONSTRUCTION.THAT I A61 AUTHORIZED BY THE ,�,�� <br /> �i+= OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEc � - <br /> APPLICATION IS MADE AND � COMPLY WITH THE STATE <br /> CONTRACTOFS lAW 1827 FGW AND 29fi.200 WAC. <br /> ... X � � (��j �,�� T r � -. ' ; i' •�� . <br /> i <br /> c � � <br /> Si naturc Oate <br /> i <br />