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��a� <br />77 y <br />9 Hx Cn <br />H 93 <br />�x� <br />H xl <br />� N'i1 <br />V1 H <br />Csl n � <br />HC <br />��g <br />�] Y � <br />ay� <br />r x <br />r+ y <br />g�� <br />H <br />C] b fn <br />��� <br />HO� <br />� <br />� <br />APPLICATiON FOR ELE�TRICAL �EI�MIT <br />i1340391 <br />Ptadrona <br />� ,- <br />?FI; �� _ ._ <br />CITX OF EVERETT <br />Public Works Dept. <br />Everett, id.A 98203 <br />'�oY9 6 <br />cin or �� <br />6UIIDING DIVISION <br />3T00 CmAR STREET <br />EYQtCTT, MA 98201 <br />259-2431 <br />enT a�t Ma� ddress — <br />�cy . tatc ;P ho--' n�e -- <br />g,{ 3 <br />Brinks Nome Securi[y 19115 W Valley Hwy ;iH106,Kent,IdA98032 251-9727 BRINKHS148LE <br />lectrical ontrac[or Mai ddress <br />�ty tatc �ip �-honc .raro .,...,.... .. <br />$1,369.00 residence <br />ontract Price o ork roposed se o uilding <br />1327 Pfadrona, Fverett <br />ProjecC Address <br />Discription of Work io 6e Donc: <br />ldA 98203 <br />In[rusion alarm <br />NOTE: WAC 29G-4G-140 REOUIRES THAT PLqNS FOR [L[CTR�CAL WORK AT EDUCATIONAL� INSTITUTIONAL OR f{=q�TH CARE FACIL�TIES <br />DE APPROVED �Y THE STATE OF WASHINGTON, hPPU CANTS YlITH SUCH J06S MUST SIiOW THE STATE APPROVED PLANS OEFORE A <br />CITY OF EVERETT PERMIT WILL �E ISSU[D. <br />NOTE: WIRII�G IN NCN-DWELLIIdGS IS R[QUfRED TO OE �N CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE R[A� AND EXAMINED THIS <br />APPLICATION AN� KNCW THE SAME TO BE TRUE AND CORRECT. AlL <br />PflOVISIONS OF lAWS AND ORDIN�NCES GOVEfiNING THIS NPE OF <br />WORK WILL BE CO�dPLE?ED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF ,4 PERMIT DOES NOT PRESUh1E TO G�VE <br />AUTHORITY TO VIOLATE Oq CANCEL THE PROVISIONS OF ANY <br />OTHER STATE Ofl LOCAL LAW REGUTATING CONSTRUCTION OR THE <br />PERFORMA4CE OF CONSTRUCTION. THAT I AA1 AUTHOqIZED BY THE <br />OWNER OF THIS PROPERTY TG PERFORM THE 1•lORK FOR VlHICH <br />APPLIGATION IS MAOE AND I COAIFLY WITH THE STATE <br />CONTRACTORS LAW 1 �.27 RCV! AND 296.200 W�C. <br />���1.�1/1(I N�f?7/i"v�no <br />Signature Oate <br />FEE $30.00 <br />