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,4 <br />He <br />APPLICAf.�N FOR ELECTRICAL PERMIT <br />� yy <br />O N <br />y <br />CITY OFBUILDINDIVISION <br />CEDAR STREET <br />K <br />EVER <br />EVERETT, MA 98201 <br />R <br />H0 <br />259-8810 ,e._ E-- <br />�e-�x�- 9�'vrd// ly- f7>0bl <br />0 ry� o� <br />,a' / 9 2E07 ��g-779-S�s / <br />Cftate <br />N <br />// <br />C %/2 /K S3o2 �.� me, N7PlL A/'P <br />ip Phone <br />n �J <br />ner Mat Address tty <br />H to <br />7i Al -0 cGWp so,�tty EPta�% <br />Ph... <br />'aH <br />eCant ai d rass <br />Q N <br />�$ 0 ai <br />7- �JLFIt�(q 3030 Au[eJ Stet <br />ieense No <br />ectrica ontractor at ddress tty tate/ a state <br />to <br />O 0 <br />Cco77, /to <br />Contract Price of Workroposed Use OT Oul'Olng <br />3o S— s �uow�� ni��l� �w si z <br />Project Address <br />Discription of Work. To Be Done: <br />CIE <br />1 �_ 1 <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />BE APPROVED BY THE STATE OF WASHINGTON. <br />CITY OF EVERETT PERMIT WILL BE ISSUED. ..- <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br />1 HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />_ <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />OF LAWS AND ORDINANCES GOVERNING HIS TYPE OF <br />1_ <br />PROVISIONS <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />�i <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />AUTHORITY TO <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR HEPERFORMA2G <br />OF THAT I AM ZED BY THE �o <br />THIS PROPERTYCTION. <br />OWNER OFNCE <br />TO PERFORM HE ORKIFOR WHICH FEE <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 OW AND 296.200 WAC. <br />// <br />/D/L-5'�2 <br />-- - <br />�� <br />Signature Date <br />t <br />4 <br />3�y7% <br />