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r <br /> � �9 � <br /> �1 y <br /> 9HxCn <br /> H Z Fi <br /> FC C� <br /> H h1 <br /> � y� �> APPLICAI i0N FOR Ei.ECTRICAL �ERMIT <br /> zp <br /> p H d //�� c�n oF EVERET7 <br /> "rC�C7 / � OUILDING DIVISION <br /> e-� O /r� <br /> �� n �r�1— 3200 CmAR STREET <br /> ,.� N �WET�F,%7tT/ EVERETT� MA 98201 <br /> H �� <br /> �H y 259-8810 <br /> ���yy y '/ , / z58-iSo a <br /> G(~i� �EGECT Ho�S /Z 3 �Gcc` 5YlZcET �YEFE77� �/A. 9B <br /> �� r+ rvner Mai Address <br /> ��y tate ip Phone <br /> [�y <br /> zy�n <br /> y 0 y �ty tate ip hone <br /> enant Mai d ress <br /> .0 � �- Ei.ecrir�� ,t,�<. f?o, c�xa�lL� //�,tWNO WA. 4�83 889-yzc� L�ErtY' /oyC� <br /> tate � hone tate icense o. <br /> ectrical ontractor ai ddress �tY P <br /> Zc-t�0.00 .vFW �/DENcc <br /> ontract rite o Wor Proposed se o uilding <br /> Srj�o PA�fK✓Eu� LA�✓E <br /> roject ddress <br /> Discription of Work To Be Uone: o w� <br /> ' , <br /> '�/ <br /> ' 1 . <br /> '�' <br /> f � NOTE: BECAPPROVED,Y THEuSTATETOFTWASHINGTON.ELAPPLICANTS WITHTSUCHCJOBSNMUSTISHOWTTHE STATERAPPROVE� PLANSAOEfOREEA <br /> 1�' CITY OF EVERETT PERMIT WILL 6E ISSUED. � <br /> '_1 NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> � I HEREBY CERTIFY THAT 1 HAVE READ AND� EXAMINED THIS <br /> ��' APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING hilS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OFi <br /> '�' NOT. THE GRANTING OF A PERMIT OOES NOT PRESUAIE TO GIVE <br /> � AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL lA�`1 REGULATING CONSTRUCTION OR THE <br /> ��' PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE T <br /> OWNEfl OF THIS PROPERIY TO PERFOFiM THE WORK FOF WHICH FEE J J•� <br /> � CONTRACTOFS IAWM0.27 RCW�AN�296.00 WpC.�TH THE STATE <br /> X � . . ,yl,�au� y��,�y3 � � �_'�� %;, <br /> .,�t�..�-- a _ '; <br /> Signature <br /> Dat� <br />