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� <br /> ..-. <br /> APPLICAT��N FOR ELECTRICAL rERMIT <br /> ciTr oF �xErr <br /> BUILDINC DIY�SION <br /> 3200 CFDAR STREET <br /> ' EVERETT, MA 98201 <br /> 259-8810 <br /> vnne����n�/ �l ��`�a I�-la l ICV 4�C� � �CL�� �� � �_:���Ui-� / J ��— .�3� <br /> �j�tate p o�e <br /> enant a ress �ty tate ip a�e <br /> IJLOL-� 13`-l� �`ii""/a-�' NC ,E'�r a� G.i/f -��'�l3%r�7C� -�F/y3T.40LL��o�SJ/� <br /> ctr ca Contracior a ress ty tate p one Yate cense o. <br /> ontract r ce o or ropose se o �uiT3�ing <br /> �7��7 !�/��c (/i�i./ !� <br /> ro ect ross � . <br /> ; Oiscription of Nork To Be Done: � �;� �pUSC �2i� �l�fj .� ���/cr G�T � <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEAI.TN CARE FACILITIES <br /> � BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITN SUCH JO85 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> , ,CITY OF EVERETT PERMIT WILL BE ISSUED. � <br /> � NOTE: MIRING IN NON-DMELLINCS �S REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE REAO AND' EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PHOVISIONS OF UWS AND OHDINANCES GOVERNING THIS 7YPE OF <br /> WORK WILL 8E COMPLETED WITH WHETHER SPEf:IFlED HEREIN OR <br /> NOT. THE GRANTINQ OF A PERMIT DOES NOT PHESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> Oh1ER STqTE OR LOCAL lAW REGUUTING CONSTRUCTION OR THE <br /> PERFOFMANCE OFCONSTRUCTION.THATIAM AUTHORREDBY7HE � � <br /> OWNEH OF THIS PROPERTY TO PERFORM THE WORK FOR WHICM � <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> X .G>�T� _ ,�'/_/////� ��O �� <br /> ^ Signature Date <br /> 3q3�3 <br />