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H <br />� 1xy-3 CAI <br />HZX <br />< <br />H W �1 <br />OSO <br />y H <br />OH <br />APPLICATION <br />FOR ELECTRICAL PERMIT <br />�" <br />9 <br />CITY OF EVERETT <br />IVISI <br />H <br />t" r��'y' <br />1�322526 <br />43200 <br />BUILDING DIVISION <br />CEDAR STREET <br />y H <br />EVERETT, MA 98201 <br />n <br />259-0810 <br />Cd CAA <br />qCn <br />Bruce 6 Patricia Schwartz 1725 <br />Plc Doug911 Avenue Everett 14A 98201 <br />259-2015 <br />hone <br />H CJ En <br />,. ___ Mail tdress <br />y tatc i <br />1t P <br />enanC <br />Ma, ddress iCy •-S—t. t-e/ 1P hone <br />nt <br />$469.QO Re side ncc <br />ontract Price o Work Proposed Use o Building <br />1725 Mc Dougall Avenue, Everett, WA 98201 <br />Project Address <br />f1 Di scri pti on of Work To Be Done. Intrusion alarm — <br />' ' 1 <br />r <br />1 <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, IN5TITUTIONAL OR HEALTH C1RE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS HUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />NOTE: WIRING 114 NON -DWELLINGS 15 REQUIRED TO BE IN CONDUIT. <br />!' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED 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 OLOCAL REGULATING <br />PERFORMANCEOFCONS RUCT ON.TCONSTRUCTION <br />THAT I AM AUTHORIZED B ED BY THE <br />$30.00 <br />OWNER WHICH <br />AAPPLICOIONISMADE ANDI COMPLY WITH THEWORK FOR <br />STATE FEE <br />CONTRACTORS LAW 16.2.7 RCW AND 296.20J WAC. UU _ 000^ Q ? N <br />X �9M <br />ia/?lFED118 193 <br />Signature <br />Date <br />.......................................................... �. <br />CITY OF EVERETT. <br />Public Works Dept. <br />LE <br />