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� <br />e <br />_..< <br />� <br />259-8810 <br />'ra �-r C <br />ontraet r ce o or <br />APPLICAI i0N FOR ELECTRICAL PERMIT <br />�t�5�vu��iev� 24 1 <br />Mai ddress <br />�1 �D� �i�� <br />�il ddriS ess <br />V iC Irl?/Y/ � {i ' <br />1� 1 <br />k s� I�G <br />cin oF �Err <br />BUILDINC DIVISION <br />3200 CFDAR STREET <br />EVERETT, MA 98201 <br />S',ne� � �Ii I��/ P 5; d/�F K G-e <br />�ropo§ed se o ui ng <br />Dfscription of Nork To & Done: S�_ ��� /;l �-�� S�'�I�Ur(P. <br />-G 7� <br />NOTE: tlAC 296-46-740 REOUIRES THAT PUNS FOR ELECTRICAL WORR AT EDUCATIONRL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS NUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. , � . <br />NOTE: MIRINC IN NON-OWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OP UWS AND ORDINANCES GOVERNING THIS 7YPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTINC� OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY <br />OTNER STATE OH LOCAI UW REGULATING CONSTRUCTION OR THE <br />PERFOFMANCE Of CONSTRUCTION. THAT I AM AUTHOflIZED BY THE <br />OWNER OF THIS PHOPERTY TO PERFORM THE WORN FOR WHICH <br />APPIICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X �.,a��.� Q ��,,.�..� /b-�'�� <br />�ature " Date <br />FEE � �J �- <br />3�3�g <br />