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APPLICATION FOR ELECTRICAL PERMIT <br /> cin oF �Err <br /> BUIIDING DIVISION <br /> 3200 CFDM STREET <br /> EVERETT. MA 98201 <br /> 259-8810 <br /> � � U lk/ /r c- ; 9�1"D96Y�/= 3�� <br /> �tY P hone <br /> ner / a d ress �tate i <br /> enant ai ress <br /> �ty tate ip one <br /> T�'�� �t tate ip one tate icense o. <br /> ectr ca ontractor a ress Y <br /> , .s F GC "I'!+ <br /> ontract r ce o or ropose se o ui g <br /> �- ,� Lvt y`� <br /> ro ect ress I <br /> Diseription of Mork To Be Done: ��,�T� ry�'� ����Y <br /> NOTE: BECAPPROVED�BY THEuSTATETOFTW�HNNGTON.ELAPPLICANTS�WITHTSUCHCJO SNMUSTISHOWTTHE�STATERAPPROVED PU�NSABEF REEA <br /> CITY OF EVERETT PERNIT MILL BE ISSUED. � � <br /> NOTE: MIRINC IN NON-DWELLINCS IS REpUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I MAVE READ AND' EXAMINED THIS <br /> qOV S ONS OF UWS AND ORDINANE 5 GOVERN NG T}11S TlPE 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 /> OTNER STATE OF LOCAI LAW REGUTATING CONSTRUCTION OR THE � <br /> PERFOFiMANCE OF CONSTAUCTION.THAT I AM AUfHORiZED BY THE <br /> OPPLICATFONISISRMADE AN�PERCOMPLY WIT�HKTHER S iATE F� �� <br /> CONTRACTORS lAW 1827 RCW AND 2962Q0 WAC. <br /> �� <br /> X �' � /� 2�/�/�fl-/c-� <br /> ���� Date <br /> ignature <br /> �I� r�� <br /> V <br />