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APPLICATI�JN FOR FLECTRICAL i�ERMIT <br />cin oF evEaErr <br />BUILDINC DIVISION <br />3200 CmHR STREET <br />EVERETT, MA 98201 <br />ena t � � �%i" �-I—������� .' / <br />Pat ddress � , itv _r�«e ... . <br />Sl� X A.t��E�/ , ��// � ' <br />ntract nce o Work ' ��ti* �������r' <br />� Praposed Use o uilding <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. qppLICANTS WITH SUCH .IOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRINC IN NON-DWEILINCS IS REOUIRED TO BE IN CONDUIT. <br />i HEAEBY CERTIFY THAT I HAVE READ AND' EXAMINED T!IIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PqOVISIONS OF LAWS AND OflDINANCES GOVERNING hIIS TYi'E OF <br />WOFK WILL BE COMPLETED WITH WHE7}1ER SPECIFIED HE(iEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />07HER STATc OR LOCAL LAW FiEGULATING CONS7RUCTION OR THE <br />PERFOfiMANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BY iHE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOfiK FOR WHICH <br />APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br />CONTFiACTORS LAW 18.27 flCW AND 296.200 WAC. <br />X <br />� � 7 <br />Signature 0 te <br />FEE ?Y7 <br />�� 7'�1�- / <br />