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��� <br />9H <br />��� <br />C 1-i <br />9 H Cn <br />. <br />H � <br />oxo <br />'sJ H 'i1 <br />V1 H <br />H <br />�z <br />HC7 <br />H[��T70 <br />S]� C] <br />H <br />z H <br />� t-� y <br />gy <br />H <br />n b � <br />�r�r <br />zH(�i� <br />HOtn <br />APPLICATION Ft�R Ei.ECTRiCAL PERMIT <br />C� <br />259-8810 <br />CITY Of EVFREIT <br />OUILDING DIVISION <br />3200 CmAR STR[ET <br />EVERETT, MA 98201 <br />'� ' - ( -t "L ( l `r l � � ,• ; �;� ,� _ . � e= , e t�" vJ i� � i `s � v � <br />� U����� �� �� �� � i[ State f Phone <br />Or+ner Mail Address ' Y P <br />, . i �� Q ' U � � C l, i 7� �%`� �:. <br />rj�'� {-ic..��-oi�ct�a•-Jk� �ll� �-e.rt�h'T.�� •{z .,z Cl�l CN , j� <br />enant Mai ddres.: City tute ip hone <br />ectrical Contrattor Mai ddress ity tate �p Mne tate icense o. <br />� % i✓ .✓c -.�C'_ _ <br />Contract Price o Mork <br />.` �� o �.- P x< «. � 1,-� 0.� C �" <br />Di;cription of Work To Be Dane: � N, A C�_'- <br />.� � �� ES 1 CG 2�C C <br />roposed se o Building � <br />ac? �i i��f��� Lo.�cQ�,� b�lo <br />e� � <br />k� �. S �- <br />I ZSt� - 200 6�� <br />�. t�- C C o.n c,. r� c.�-� C. <br />I R� �.� � >�� � d.�' F e � C v� c^ IJ� e� I o. c t VJ � r e s C r o ^�. l,�% L' �.;�� l�. e,r f( � oi. cP � J <br />� ' -t �G�r�t��J.e'�E,/t.�Ch�i�L'St1��(, 1 <br />� Mei e� {��.Se '2 �Ic � W� ��� c- � _. _ <br />' �� (� lutc_ �..i,r�: > �ra �(��F. . � Y ,� <br />`i 1" .=_,.l � <br />�� �✓1'>'�e��� G��pn✓�e� �J �. � �;�n� (���nh� �^�i(C 1'�f'�� re'_ Y�UL'f�..� .,.. ��G C'� _ <br />4 .s <br />"� s <br />NOTE: BECAPPROVED�BY THEUSTATETOFTWA HNNGTON.ELAPPIICANTS WKTHTSl1�CHCJ065r'1USTISHOWTTHE STATERAPPROVEDCPLANSAOEFOREEA <br />CITY OF EVERETT PER't'.T WILL BE ISSUED. <br />NOTE: WIRING IN NDN-DWELL�NGS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBY CCRTIFY THAT I HAVE READ AND� EXAMINED THIS <br />Af �LICATION AN� KNOW THE SAME TO BE TRUE AND COPRECT. ALL <br />PFOVISIONS OF LAWS AND OFOINANCES GOVERNING THIS NPE OF <br />WORK WIIL BE COMPLEfED YlITH WHETHEF SPECIFIED HERF.IN OF <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL lAW REGUTATING CONSTRUCTION OR THE <br />PERFOFMANCE OF CONSTRUCTION. THAT I AM AUiHOR12E� BY THE <br />OPPIICAOTIONISISRMADE A DPERCOMPLY WIT�HKTHOER STCITE <br />CONTRACTORS LAW 10.27 RCW AND L96200 WAC. <br />`/ f <br />X ��/ � !' !'- ' � 1/ �'/ ' �i'.� _ <br />. nlJJ' :Y <br />Sign`ature DaYe,�� <br />FEE <br />i <br />