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-. <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> � (� q cirr oF �Err <br /> c� sioo�cm���sirn�r <br /> . EVERETT, MA 98207 <br /> 259-88f0 <br /> Snar� ac ls�d �}3c a,,�� ,4.�,c t'.�c.c�•-. ��6zs� � <br /> �ner a ddress ity tate ip 'hone <br /> Naweo.w 2�30 oaK� �+t• �..�e.cc�' YeLo/ 3�9vqLd <br /> enant ai res�— ty tate p one <br /> I/�'�ritN� �t.�Cl7r iG <br /> ectr ca ont^actor ai ress ty tate Zip one tate icense o. <br /> $ S�OC�C1 � �— � .(J NATldN.K �1��4M/J f�ti+a� <br /> ontract r ce o or �roposed Use o ui�ding -- <br /> �'� 30 ��4K�J � � lld[.tei'� <br /> ro ect d ress <br /> Discription of Work To Be Done: /��r7fii.L 7L�JiC��/,J �6M/✓/=K /�d�ji[ <br /> ,4.Jil C6�.�drt� �'��na Li.�lc�J <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 WASHIYCTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ ANO' EXAMINED THIS <br /> APPLICATION AN�KNOW THE SAME TO BE TRUE AND COFRECT.ALl <br /> PflOVIStONS OF UWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> WORK WILL BE COMPLEiED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of ANY <br /> OTHER STATE OR LOCAI LAW REGUUITING CONSTRUCTION OR THE <br /> PERFOqMANCE OF CONSTRUCTION.THAT I AM AUTHOHIZED BY THE �� <br /> OWNEA OF THIS PROPERTY TO PERFORM THE WORK POR WHICH FEE <br /> APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 qCW AND 296.200 WAC. <br /> �' <br /> X G ,A <br /> � � ZD � ! <br /> 5 r Date �� <br /> �33 <br />