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...-._�.`. <br /> I� <br /> �I <br /> � <br /> � <br /> APPLICATION FOR ELECTRiCAL PERMIT <br /> ciTr aF eveaaerr <br /> y C)H� OUILDING DIVISION <br /> ��� 3200 CmAR STREET <br /> �y EVERETT� MA 98201 II <br /> a y y 259-8810 <br /> r � ;� � <br /> K o ��0 / 7 /'�'��C- 7.SD�� la✓-L��-r �ll�� ����3 3.s3-�os-Z <br /> y� ner Mail Address it tate ip Phone il . <br /> � �� I <br /> x O 3 enant Mai ddress ity ta[e ip hone � <br /> t+1 L=1 <br /> �3 C ' <br /> OH <br /> H �g ectrical Contractor Mai r'dress ity tate ip hone tate icense o. � <br /> �V � <br /> /.�OU S � f//,• P 4 �, L T� 1L <br /> ry x ontract Pn ce o Work Proposed Use o uilding �, <br /> C�/�y <br /> g ~ 7,�O L/ �P �a-�/ ( ..�cu'7 �i> w 77� <br /> d�, !I <br /> � �� rojec��s <br /> � �' �,Qn�o� i3ov I ! <br /> y �y Discription of Work To Be Done: -1 �/ �' i�✓a L L�n1{ .-0�+�-. � <br /> �U �G//l�i� /�� Se /i�-D �/n�2_—/S �O ✓' FLec� � n TJ /Z (�iiC.� � <br /> i <br /> , . �Urt9 S �/ L t't.� t�Ll tM � �in✓ �L� 1 wt w` v.a. �C90 � - il 1� � � ,' � <br /> 1� � I l � � r 4 /-�m i� 5 Y1-f- ��� ' ; <br /> n��„� s iy , � p ��,� s Z � <br /> '��' � <br /> ��� <br /> � NOTE: WAC 296-46-740 REOUIRES THAT PLAN:i FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CAFtE FACILITIES <br /> � BE APPROVED BY THE STATE OF WASHIIIGTON. APPLICANTS WITH SUCH JOBS MUST SHO'N THE STATE APPROVED PLANS BEFORE A <br /> �� CITY OF EVERETT PERMIT WILL BE ISSUED. , i <br /> NOTE: WIRING IN NON-�WELLINGS IS REOUIRFD TO BE IN CONDUIT. � <br /> i <br /> � I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS � <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND COFRECT.ALL . <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF ,. <br /> .�� WORK WILL BE COMPLETED WITH WHEfHI:R SPECIFIED HEflEIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PflESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL TIiE PflOVISIONS OF ANY <br /> o w OTHER STATE OR LOCAL LAW REGULATINCi CONSTRUCTION OR THE <br /> { i� PEflFORMANCE OF CONSTRUCTION.THAT I AM AUTHCFIZED BY THE <br /> OWNEfl OF THIS PROPERTY TO PERFOfilA THE WORK FOR WHICH FEE i �J <br /> APPLICATION IS MADE AND I COMPLY WITH THE STHTE <br /> 1 i"j <br /> CONTRACTORS LAW 1827 RCW AND 25620�WAC. <br /> X _ , �>''1�3c� <br /> . � <br /> Si nature Ua[e <br /> I <br />