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� � <br /> c� x <br /> q H - <br /> 9HCn <br /> i <br /> y H <br /> K n <br /> H �1 <br /> xo <br /> y y � i3 APPLICAT".-��N FOR ELECTRICAL' ��ERMIT <br /> p''�F., d an oF Eveaerr <br /> '.V C'�l7 � 6UILDINC OIVISION <br /> ��1� 3200 CmAR STREET <br /> EVERETT� MA 98201 <br /> 2H � <br /> �y 259-8810 <br /> �y V�i y <br /> O /Z 3 EL@� STkEET �✓��77— ��. Z58�/�03 <br /> e7CN SE�Ee-T /�mu^c5 �ty tate ip hone <br /> ��G � lwner Mai Address <br /> Of/� �ty tate ip honc <br /> enant ai tldress <br /> �.�jK*- GCEGT,�tG �..(/C• {�o. I�X 3f�Z�{ /)/21�.9�d •f��Q. 98od3 �91ru6 •C.t�E[.cSlF/aK.3 <br /> �t tate tp hone tate icense o. <br /> = ectrica ontractor Mai ddress Y <br /> 2000.oo .t/E[tl ES/.�A/ <br /> t,ontract rice o or Proposetl se o Building <br /> (� �GoZ �A/�G✓tr� �uE — <br /> ?�o�ect Address <br /> Jiser{ption of Work To Be Done: mo Q a✓![E ��W �o�"`E �57��T <br /> I 1 <br /> 'w/ <br /> 'w1 <br /> '�' <br /> I I NOTE: BECAPPROVED�B� THEUSTATETOFTWA HNNGTON.ELAPPLICANTS�WITNTSUCHCJOBSNMUSTISHOWTTHE STATERAPPROVEDCPLANSAGEFOREEA <br /> '�I CITY OF EVERETT PERMIT WILL BE ISSUED. � - � � <br /> '� 40TE: WIRING IN NON-DWELLINCS IS REOUIRED TO BE IN CONDUIT. <br /> � ' <br /> I HEREBY CEFITIFY THAT I HAVE READ AND' EXAMINED THIS <br /> ��' APPl1CATION AND KNOW T11E SAME TO BE TRUE AND CORRECT.ALL <br /> � PflOVISIONS Of LAWS AND ORDINANCES GOVERNING THIS T(PE OF <br /> WORK WILL BE COMPLEiED WITH WHETHER SPEC�FIED HEREIN OR <br /> 'sI NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> .�UTHORITY TO VIOLATE Ofi CANCEL THE PROVISIONS OF ANY <br /> � OTHER 57ATE OF LOCAI LAW REGUL.�TING CONSTflUCTION OR THE <br /> f�; PERFORMANCE OF CONSTAUCTION.THAT I AM AUTHORIZED BY TNE — <br /> OWNEA OF THIS PflOPERTf TO PERFORM THE WOPK FOR VIHICH FEE �jS•o0 <br /> � APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �� CONTRACTORS lAW 18.27 flCW AND 296.20a WAC. <br /> X �,.�.�,.e..... ��le�Lfs� ��5�93 <br /> Signature Date � �� <br /> ���� <br />