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3y <br /> M wn r <br /> APPLICATIOf� FOR ELECTRICAL PERMIT <br /> CIT7 OF EVQ;Eff <br /> BUILDING OIVISION <br /> x�-ni� 3200 CmM STREET <br /> tl�a y r evExxErr, MA 98201 <br /> C�i-x+ 259-8810 <br /> aycn <br /> � <br /> H 3 I � C � ) , ✓> � �D �,j �'v �.�L J � a�SoL 'S.-t �J� <br /> H �r+ �'�I 'vYL� c�� r � ���lr/7�"�� a /�� G ct' <br /> `� y� Uwner Mat Address ity tate/ i� Phone <br /> � VJ H S/�^'�'1 Qi <br /> y Z r enan�—Mai�Fddress ity tate ip hone <br /> � y� jC� ' �. <br /> Hh g ctr,ical ontractor MailTddjess ity tate �p hane tate icense o. <br /> y>„ n oi <br /> zy� ��/()� : (J <br /> �i z ontract Price o Work Proposed Use o Bui ding <br /> H H �j <br /> g �'� � S � o �oti, dr,.v �l <br /> n C�y roject Address . <br /> � �� , i <br /> z y c�i� j1 L � } , �)�,,.��� 5�v-✓ v r�.� i )�.��.� �j iz �. .::/� <br /> y �� Discription of Work To Be Done: C G <br /> �� <br /> �� <br /> '�' � � NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CAkE FACIU TIES I <br /> ..� � BE APPROVED OY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERETT PERMIT WILL BE ISSUED. . I <br /> � � NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> �` <br /> I HEREBY CERTIFY THAT I HAVE READ AND� EXAMINED THIS <br /> '� ... APPLICATION AND KNOW THE SAME TO BE TRUE AND CCHRECT.ALL <br /> � I PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH!S T/PE OF � <br /> WOFK WILL BE COMPLETED WITH WHE7HER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING GF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE Ofl CANCEL THE PROVISIONS OF ANY i <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION Ofl THE <br /> '�'' 'i PERFORMANCE OF CONSTRUCTION.THAT I AM AUiHORIZED BY THE ��� `�;� , <br /> f�WNER OF THIS PROPEr�TY TO PERFORM THE WOFK FOfl WHICH FEE / . <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE �I <br /> CONTPACTORS lAW id27 PCW AN�296200 WAC. i <br /> "�.� � <br /> .. . . X �`���, 1�c�i �.vw._ �� - ��- �� �. <br /> Signature Date , � � � <br /> ;� ; L _ <br /> � <br /> � <br /> � <br />