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,. . <br /> APPLfr„ATION FOR ELECTRICAL PERMIT <br /> citr ov evrn[rr <br /> IIUILDIHC DIVISION <br /> Ey• 3200 CmAR SiREET <br /> EVERETT. MA 98201 <br /> 259•8810 <br /> �r �v�io '��'+�i`-t�ar�1 Mxo `�11c_�4,Jn 98 e�( �-� <br /> nner a P res> cy te[el p hone <br /> <nan[ a'� ress ry [a[e p ane <br /> �'�-�es`�=�i�A�""-`��`°-�t77'Y"""�-� ril1��-r '-�le-ffii�� �-fFac,uecwp� <br /> letf- an[ractor a dress [ Cate/ hooc SS[e ttnse Ao. <br /> �,r ��, �- ,r f� <br /> +T! d.S �mP � .�uscG � <br /> m[ract PTce oT r � ropose x o u 0 ng <br /> �Q�i r� ��eul�ane ��r `��s' <br /> -o ect dress <br /> iscription of Nork To �c Donc: �r4iC� Ow�.o d�.L !�: � <br /> � <br /> 'IOTE: NAC 296-46-140 REOUIRES TIIAT PLANS FOR ELECTRICAL NOPN AT EDUCATIONl1L� INSTITUTIONRL OR IIEALTtI CANE FACILITIES <br /> OE �PPROVED BY THE STATE OF NRSNINLTON. APPLIGNIS MITII SUCli JU05 NUST SIIOM TIIE STATE MPflOVED PUNS �EFOflE A <br /> LITY OF EVERET7 PERHIi WILL BE ISSUE�. ' <br /> •10TE: XIRING IN N011-DNELLINGS IS REpU1RE� 70 OE IN CONDUIT. <br /> I HEREBY CERTIFY THAT 1 HAVE f1EA0 AND E%AMINEO TNIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND COflflECL ALl <br /> PflOVISIONS OF UWS AND OR�INANCES GOVERNING THIS TYPE OF � <br /> WOAK WIiL BE COMPLETED WITH WHEfHEfl SPECIFIED HEflEiN OR <br /> NOT.THE GFANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER S7ATE OR LOCAI LAW PEGUU7ING CONSTRUCTION OA TNE <br /> PERFOAMANCE OF CO�'SiFiUCTION.THAT I AM AUTHORIZED BY THE 9-7 <br /> OWNER OF TIIIS PROPERTY TO PERFORM TNE WORK FOR YMICII FEE J'�S'. <br /> APPLICATION IS MAOE ANO I COMPLY WITH THE STATE - <br /> CONTRACTORS LAW 1927 FlCW AND 276200 WAC. <br /> X r `; . <br /> � / '��\ f/, <br /> �1 ��^y`--�'_`�.. �1-1`C •�1 // i - y Z <br /> Sfqnaturo Oate <br /> ��, �fl f z <br />