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APPLICAI i0N FOR ELECTRiCAL PERMIT <br /> c�Tr aF ev��r <br /> 6UILDING DIVISION � <br /> - 3200 CkDqR STREE7 <br /> 259-881� ���, MA 98201 <br /> /�id ; �a.•��:2 .� L- o � j(�Cksc,✓ /= <br /> �nvner Mail ddress ���� w�' <br /> 3¢7-i:zeg <br /> �tY tate ip Phone <br /> enant Mai ddress <br /> �tY tate ip Phone <br /> �/}r7E s �.�.u',u2 <br /> ectrical ontractor ai ddress <br /> �tY tate ip hone <br /> tate icense o. <br /> ontract Pnce o Work %r LLCi✓$' <br /> Proposed se o � �uilding <br /> 7.Go�ne/<sn.c_� �=vene.N u//1 <br /> i ro�ect Address S��U 3 <br /> Discription of Work To Be Done: J�_�,�J <br /> � _-- d� Ri�wr✓�_ F/GlJ <br /> NOTE: WAC 296-46-140 REpUIRES THAT pLqNS FOR ELECTRICAL WORK f,i EDUCATIONAL, INSTITUTIONAL OR fiEALTH CARE FACILITIES <br /> 8E APPROVED 6Y THE STATE OF WASHINGTON. APpLICANTS WITH SUCH J005 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> N07��.: WIRING IN NON-DWELLfNCS IS REQUIRED TO BE IN CONDUIT. <br /> 1 HEFEBY CERTIFY THAT I HAVE READ ANO" EXAMINED THIS <br /> APpLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVI.��ONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> WOFX WILL BE COMPLE7ED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. 1'HE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR 7HE <br /> PERFOqMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEqTY TO PERFORM THE WORK FOH WHICH � <br /> APPLICATION IS MAUE AND 1 COMPLY WITH THE STATE FEE . <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WqC. <br /> X ��.....�� �. 1,��.�L yj�� � S� <br /> S�gna::ure,� r Date <br /> 5�q�3 <br />