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APPLICAI �ON FOR ELECTRICAL PEFiMIT <br /> � c�n oF Ev�Err <br /> WILDING DIVISION <br /> 3200 CmAR STREET <br /> EYERETT, MA 98201 <br /> 259-8810 <br /> - - - � o�MT ��110 - fi��-�t.�� eo� f3�«v�- Gt�. y���o� 64-�Z3Lj <br /> ner Mail ddress �ity tate �p Phone <br /> s �ty tate �p hone <br /> enant ai d ress <br /> t ectrica ontractor ai ress ty taYe ip one tate cense o. <br /> ,�ti��r,/�"� s,a-,,r< o�r� �c� DA�s� <br /> on��� r ce o or roposed se of Bui Gi�9 <br /> ro ect d ress � <br /> Discription of Work To & Done: f .u/✓1EGT 220 � ���� /�`"����� <br /> NOTE: WAC 296-46-740 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTii CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASNINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT NILL BE ISSUED. . � <br /> NOTE: XIRINC IN NON-OWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND' EXAh�INED THIS <br /> APPIJCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PqOVISIONS OF IAWS AND ORDINANCES GOYERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHEfHER SPECIFItD HEREIN Ofl <br /> NOT. THE GRANTING OF A PE(iMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LCCA!LAW REGUTATING CONSTRUCTION OR THE <br /> PERFORMANCE Of CONSTRUCTION.THAT I AM AU'f1i0RIZED BY THE <br /> ApPLICATION'SSRMAOE ANDPERCORP YH WI�H T ER STATE FEE ��� <br /> CONTRACTOFiS LAW 1827 RCW ANO .200 WAC. <br /> i �Z <br /> .- / /�-7- <br /> Si9 � Oate <br /> 3�`��� <br />