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��« �Li�� <br /> !� <br /> � APPLICATION FOR ELECTRiCAL PERMIT <br /> � ^° <br /> p � CITY OF EVEREiT <br /> �i 6UILDINC DIVISION <br /> M = 3200 CmAR STREET <br /> OM n T EVERETT� MA 98201 <br /> � M' � 2ss-as�o <br /> N M <br /> � � "� ��t Cu4�� 200� c E.G�e���'��� C�i� c8�/ �sy/yaZ <br /> O N ner Mai ddress ty tate ip hone <br /> m <br /> L~1 • <br /> h� <br /> M <br /> M enant Mai ddress ity [ate ip hone <br /> 8 `� � �LF' 7 F�1 r.�L_ <br /> f1 � N <br /> ectrical ontractor Mai ddress ity tate ip hone tate icense o. <br /> � � � ���.� �� �IT'��� <br /> onL tract rice o ork roposed Use o ui tltng <br /> �CL�. G L, G-�7✓D <br /> ro�ect Address <br /> Discription of Work To Be Done: .I-�S� �7 ��G� ',^.J I J h1 r] <br /> �C�� <br /> � ��, NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEAL7H CARE FACIU TIES <br /> i �_� BE APPROVED BY THE STATE OF WASHINGTON. APPU CANTS WITH SUCH JODS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> � CITY OF EVERETT PERMIT WILL BE ISSUED. . � <br /> i NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> � � � <br /> — <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COFFECL ALL <br /> PqOV1SIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF <br /> � WORK WILL BE COMPLETED WITH WNETHER SPECIFIED HEREIN OR <br /> � ��� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> '� AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION Ofi THE <br /> PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE ,�h �� O� <br /> � � OWNEfi OF THIS PROPERN TO PERFORM THE WORK FOR WHICH FEE ,�J <br /> �I� � APPLICPTION IS MA�F AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAG. <br /> 1��� X � � �l 2 �Z <br /> . Signature Da e <br />