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i <br /> APPLICATI ; .� FOR ELECTRICAL P"._`�MIT <br /> irv oF <br /> �VQY�t� <br /> 3UILDIPIG DEPARTMENT , <br /> t59•8810 <br /> � L� � � ��i3 ��-�� � �..� �.��� Qk�Z�/ <br /> . iM er Fai �dress l. ty �� ��°^� <br /> � enanG I�i d ress l ty �p hone <br /> ` �l', fJ.���� _ i�v/��z�aay2 ��� �,�'�/ ��/� ��i� �/ EC�s�v 9o.c�/.1 <br /> 1T, � ���s� <br /> ectricaf Zontraetor a�F�TAad7ess ��ty � one <br /> ���-lE�l� �i(J�� <br /> lontract r ce o Wor ropos se o ui ing <br /> r�t dress � <br /> .l X !� o <br /> Uiscnpt an o 'r.'rr o e one: <br /> V <br /> i <br /> ,� H07E: IIAC 296-46-140 REOUIRES THAT PLANS fOR ELECTRICAL MORR AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF MRSfIINGTON. APPLICANTS MITH SUCt1 JOBS HUST SfiON THE STATE APPROVED PUNS BEFORE A <br /> 1 CIiY OF EVERETT PERMIT WILL BE ISSUEO. <br /> PIOTE: M�RING IN NON-DMELLINGS IS REOUIRED TO �E IN METAL RACEWAYS. <br /> � I HEF,E9Y CERTIFY THAT I HAVE REP.D AND EXAMINED THIS <br /> APPLIC�tION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> 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 OR LOCAL lAW HEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE . ,�L C� <br /> � OWNER OF THIS PROPERTY TO PERFOAM THE WORN FOR WHICH FEE �/J <br /> APPLICATION IS MADE AND I COMPLY WITH THE S�ATE <br /> CONTRACTORS lAW 7027 HCW ANU 296.200 W�C. <br /> . � <br /> X il � , <br /> � ,, <br /> , ,� " <br /> Signature � A Datc � �j�� <br /> �� �����J � <br /> � <br /> '7 ; - {-! ��r`tC�� l�l�r�r ,�,r ��h��li�K�� <br /> ��r�tRy ���>-r l�_ C <br />