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APPLICATION FOR ELECTRICAL PERMIT <br /> cin oF tvExErr <br /> BUILDINC DIVISION <br /> 3200 CmM STREET <br /> • EYERETT. MA 98201 <br /> 259-8810 <br /> /�7�11!/f���f�I��ID �G, � � 60.�G//C,� ���8 Gyv-.,z3�3 <br /> Dwner �a{T-A�dress <br /> ity tate Iip one <br /> e^a^� a ress ty tate p one <br /> r� ir <br /> , ectr ca ontractor ai ress ity�tate7 p ona tate icens�o.— <br /> S� ,�?aa .�/s�a <br /> : onLract r ce o or � ropose se o vi nTd�T' <br /> ro e� Y/,L/���L -�-.� , 10-�- q IY�..�� <br /> � Diacription of Work To & Done: �lr,//-�p(J$C /,✓//G��iy <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINCTON. APPLICANTS WITH SUCH JOBS NUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERETT PERMIT WILL BE ISSUED. � <br /> NOTE: MIRING IN NON-DWELLINCS IS REQUIRED TO BE IN CONDUIT. <br /> 1 NEREBY CEFiTIFY THAT I HAVE fiEAD AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE THUE AND CORFECT.ALL <br /> PqOVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHE7HER SPECIFlED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATINCa CONSTRUCTION Ofl THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �����i���� 9�`-9� <br /> �gnature Date <br /> yi g �7 <br />