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APPLICAI ION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDINC DIVISION <br />3200 CEDAR STREET <br />EVERETT, MA 98201 <br />-SDI P�.�9i-�l� /.9oY.�'�A✓�: °'ji0 s�9i%'� Wig 9�9/D/ �AZ-.��ae7 <br />Owner Mail Address ity tatei ip Phone <br />.say Qr�9vey.Scr�L}/City w��.l cve.Cc�7' w�9 99d��Q <br />enant Mail ddress �tatc% i2 p hone <br />SCi9 syW co. /003 iWIXVE2 Pi9�t • 70,4LW44 caM S7S ;"a0 SE9775Co7zv9 <br />lectrical Contractor Mai Address ,ty tate rip Phone License <br />ov <br />Contract of Aork Proposed Use of Building <br />30S-5E. 01y Ev��r-r ggzob <br />roject Address <br />Discription of Work To Be Done: //Gr:7'G ar-z -CTR�/L/' L %Z2 .EX�%� 20/�.1'i��/�CU/% <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW :HE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />y/ / <br />