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, � ��-. <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> cirr oF �err <br /> � I �UILDINC DIVISION <br /> ✓lII 3200 CFDAR STREET <br /> � �` EIIERETT, MA 98201 <br /> 259-8810 <br /> Ilall , � _ <br /> A �AN j-ICitii��Ar �-� l;✓�v+�Tl fji;;� /�v.�,�.•T lsa./� / �{'� � S5-3S5 � <br /> ner ai ddress ity tate p hone <br /> ����L <br /> enant a d ress ty tate p one <br /> �li�n /��A�v��w' '� �SScc. /3/ �:t, rb��c �tG.,....�L �lrs,/i Cfv�� ��`���5�°� J/ilJian�/9<n <br /> ectrica ontra tor a dfess ty tate ip one tate icense o. <br /> � QOd O6 � �/\ �cSTiiu�ZAN( — D/ti:;it C.ccl/3 <br /> o�ct r ce o or ropose se o ui ding <br /> �(o�� <br /> �—�- F_ ��-,�-7 uE . <br /> ro,7eet ress - <br /> Di scription of Work To Be Done: f�/c a l( J�c W eti To /� �� v���> ����t�S <br /> NOTE: WAC 296-§6-140 REOUIRES THAT PUNS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS NUST SHOW TNE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL 8E ISSUED. , � � , . � <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOFiK WILL BE COMPLEfED WITH WHEIHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTFIORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY <br /> 01}1ER STqTE OR LOCAL UW REGUUTING CONSTRUCTION OR THE / <br /> PERFORM.4NCE OF CONSTAUCTION.THAT I AM AUTHOFi1ZED BY THE � <br /> OWNER UF THIS PROPERTY TO PEFiFOHM THE WORK FOR WHICH � <br /> APPLICATIO�� IS MADE AND I COMPIY WITH THE STATE <br /> CONTRACTOFlS LAW 1827 FiCW AND 296.200 WAC. <br /> X ��� � �/�/I- / i`- <br /> L YHw <br /> S�� ndtU e Date <br /> ��'lr7-� <br />