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ppPLICATI���I FOR ELECTRICAL F -R��T <br /> yc�!-+ rrc� <br /> ��'� '_V 2I'2�� � <br /> m�x UILDING DEPART�IENT <br /> >H� 59•8810 <br /> y �� 9'��`'� 3SS a- � <br /> " y� �. . . <br /> O SO . \�. Z.11P �Y�� V:.a`' ,{�1Jc- C an P hone <br /> 'sJ H'�J � �}1 I Ma�l rlddress Y <br /> (qH ,�ne� � ' <br /> � O r P hone <br /> � � eY <br /> Cr� Ma� Edfess <br /> y Cy enane - �cense � <br /> P hone <br /> � �g W e �y <br /> „a� Odress i <br /> �„ n . eccnca lontraetor J j�� - <br /> � ropose se o �� '^9 <br /> .oneraet r�ce o '�or <br /> ta" H y ' <br /> N <br /> ~ f0 eCt Addfe53 " �- <br /> C] t7 C/� � � �.) - <br /> ��q �\\U 1��p�R-= � <br /> N n scnpnan o Work o e ane: }.o ' � `,�,• -� . � ' <br /> H O f/� N� � <br /> �! ' <br /> �+� FOR ELECTRIUL MORK Ai EDUUTIONAL, INSTITUTIONAL OR HEALTH URE FACILITI <br /> IpiE: MAC 2?6-46-740 REOUIRES 7H�T P�5 <br /> �� �. CIT�OF EVERETiTPERM�TiMILL BE HSSUEDN �P���TS NITH SUCH J065 MUST SHOM THE STATE APPROVED PUNS BEFORE <br /> �� � <br /> ��7E; 111RING IN NON-OMELLINGS �5 REOUIRED i0 BE IN MEiAL RACEM�YS' <br /> r � � HEREBY CERTIFY THAT I HAVE PEAD AND EXAMINED THIS <br /> �PpV�q7�pN M1D KNOW TNE SM1E TO BE TRUE AND CORRECT.ALL <br /> ( .� pqOVISIONS OF UWS AND OROINANCES GOVERN�NG TH�S TY�E OF <br /> „a� � ypryK WILL BENn G OF AOPERMI DOESENOT PRESU EETO GNE <br /> NOT.TF1E GflA G f� <br /> AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF AN a � <br /> �T}{Ep STpTE OR LOC/LL ll�Y4 REGUTA'f1NG CONSTRUCTION OR T1iE FEE �' <br /> !f�' OyyNER OFNTHIS PROPERTY O PER ORM THE WOHKI ORBWH�H <br /> ' �p�AACTpftS�pW 817ftCWANO 9�OYlAC.ITH THE STATE <br /> ` , <br /> � � i <br /> X � h �l <br /> i � <br /> _ � Oatc . �'���.?C1 <br /> . ,f, n „ a� <br /> . =�h r,, <br /> . • ' � J � � �- 7 <br /> , - <br />