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APPLICAI �JN FOR ELECTRICAL r�ERMIT <br /> ciTv oF �� <br /> BUILDINC DIVISION <br /> . 3200 CmlUt STREtT <br /> 259-8810 ���i, MA 98201 <br /> l�c'_N os �v,c�� ,��:��/% /s� 1'L Nc= st A-rTc� q q � , <br /> mer ai ddress w � 5S SC/ f���L <br /> ��ty�ta�e% P hone <br /> enanT---t__ ��',C� - f� . t'v!R IZ t.Y'nJ .9 4'L' �?U.=I?t: LUA cj '�j <br /> a d ress iLy tate <br /> P one <br /> ��4C�,�t= �..��.�cTTLtc SC.=+L��cCC�S �Nc - 3`"/��- ��trv C'A-3P,4C. <br /> � ieccrical Contractor ai ddress ����"'��'S�S �tNA�`,LL"� � �LiE Q���� `��� 7G�G> <br /> it�tate� ip ���e tate icense o. <br /> 4' I �OL• .� d�f:S l9>f=7��Z/rc_ <br /> ontract r ce o orl�k --- <br /> roposed se o ui ding <br /> '� - [- . il.c�}-�(LYnJ �t UL <br /> rro�ect Address <br /> Discription of Wurk To Be Done: R L ll[y IIZi �U G.. `�N c_(� �'�c- <br /> _�LLlU7: �v � <br /> � � <br /> � ; �lo,, -�,,,.,_;�,,,, , � ,� � �; � ��-_�c u �a - 9� ��-�- �� <br /> - �O. -720 .�/,�.ltC�,Cn .l Gi.�i,�., ,.,u_ ,YS d�G�� �ic-� <br /> n LU:(Lt� � ! /L �1 / • � <br /> 1lG' _` /t/;�� � �� �� i <br /> NOTE: WqC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORY. AT EDUCATIONAL INSTITUTIONAL OR HEALTH G1RE FACILITIES <br /> BE APPROVED BY THE STAT� OF WASHINCTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS OEFORE A <br /> ,CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REpUIRE� TO BE IN CONOUIT. <br /> 1 HEREBY CERTIFY THAT I HAVE REAO AND' EXAMINED THIS <br /> APPLICqTION AND KNOW THE SAME TO BE TRUE AND COFflECT.ALL <br /> PqOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHE7HER SPECIFIED HEREIN OH <br /> NOT, THE CFANTINCa OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �UTHOpITY TO VIOLA7E OH CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION Ofl THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFUFiM THE WORK FOfl WHICH FEE j� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 29fi.200 WAC. <br /> � ' 7l�- %'Y <br /> S�gn�' , Oate r <br /> � <br /> ����� <br />