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CITY OF LVERETT <br />IIUILDING DNISION <br />3200 CEDAR S7REET <br />E•VERE7'I'. \VA 98201 <br />Oxver <br />AI'PLICATION TOR �L�CTRICAL PGI2N11'I' <br />Mai1 <br />City SbWZip Phooe <br />Clbl�c' Jn�>�1- rt. ��� �i0!)U - �PI� i �n�T �ltniln.o ' i i) � � � ��/�Ur( �, 7.�- S(r�r <br />T �� fail Address <br />v � Ctly SIaWZip � P6one <br />. l�lcrzaJeC ia � G�}/ <br />j�1C01� i��-T�"1C . 17k0�1 Sln�o\ �1�. �e1(l Cliq�9P��/Jl ��G���!)� <br />Llatnal Caotnctor Mail Addrrss Cdy SlatdZip F6one Stale License No. <br />CoNr+ct Price o( Work <br />Frojat Address <br />Drscription of Work to De Doac: .L(�( C d�i; »lno� •� <br />� � <br />Proposed Use o(Buil ling <br />NOTE: R'AC 296-06d40 REQUIRES'['}�qT PI.MS FOF ELECI'RICAL WORK p7' EDUCA7TONAL, INSTt7'U77FNAL OR <br />IiEALTH CARE FACILITIFS BE APPROVED ➢Y TH i STATE OF Wp5Fi1NGTON. MPLICAhZ'S WITy :"iCH JOBS <br />hfUST SHOW 1'IIE STA7'E AppROVED PLANS BLrORi� CITY OF EVERET pEFU11T WILL BG 1� . UED. � � <br />NOTE: WIR]NG W NON•D\4ELLINGS IS REQUIRED TC HE IN MH'fALllC RACE•WAYS (MC pND AC, ARE CABLES, <br />:IOT RACEWpyS), <br />1 HEREBY CERTIFY T}{AT I HAVE READ AND EXAt.'..:'��:D THIS APPllCA710N AND KNOW THL• SA1.tE 7'O DE 1RUE <br />AND CORREC(', qLL PROV15fONS OF LAWS AND �RDINANCES GOVERNWG THIS TYI'E OF WORK \VILL HL <br />COM1fPLGTE•D WITfI \VFIE7'E{ER SPECIFIED HERE•IN OR NOT. THG GRANTING OF A PEIL\1IT DOGS NOT PRL•S�T1E <br />TO GIVE AUTFIORITY TO VIOLA'fE pR CANCLL THE PROVISIONS OP ANY OTfiER STATE OR LOCAL LA\V <br />AGGULATING CONSTRUCI'ION OR T!iE PERFOR'NANCE OF CONSTRUCfION. T}!AT 1 AD{ pUTHOAIZED IiY THE <br />01VNER OF THIS PROPERTY TO PHRFORAI 77iE• \VORF; POR \4}{��H AFPLICATION 1S MADL AND I COTfPL'f WITH <br />T!{L STATE CON7RACI'ORS LAW 18.27 RC1V AND 296.200 WpC. <br />Signalure <br />Dale <br />x <br />Fee� <br />d¢R'P P/S19: <br />