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APPLICATION FOR ELECTRICAL PERMIT <br /> c�n oF �xErr <br /> ��� WILDING DIVISION <br /> 1 3200 CmAR STREET <br /> �; EVERETT, MA 98201 <br /> 259-8810 <br /> ..�_ . <br /> n r � tC'nr� 9��� / f.%' - �✓ /�12-'� r� - ��la � <br /> � Mai ddress �ity�ate ip hone <br /> enant Mai ddress ity tate ip ane <br /> �Pe� �; a' S F�-rc i ��r, z l- y�1 /Vv/= 11/,cr�� sl�i�e✓oo� •- iJ,K�e /.,S9-�'�`r,}� <br /> —�--��— State ��cense Ao— <br /> ctn ca ntractor Mail aatlress ��zy �•���•�•r � ��---- <br /> • < . <br /> N�'/i�f L���� <br /> � t / 1i � <br /> ontract rice a Wor ropo ed Use o ui ding <br /> ro�e"%/J� /eD" � ST' fy"l�f� �J�i . . <br /> Discription of Work Ta Be Oone: C /)YtP �f'�✓SP 20G /�7^'V �f/CL�/C-r — l� S ���"�� <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR NEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. . � <br /> NOTE: WIRING IN NON-DWELLINGS IS REpUIRED TO 8E IN CONDUIT. <br /> I NEREBY CERTIFY THAT t HAVE READ AND' EJCAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORFECL ALL <br /> PqOVISIONS OF LAWS AND OADINANCES GOVERNING THIS TYPE OF <br /> WOFK WILL BE COMPLETED WITH WHEfHER SPECIFIED HEREIN OR <br /> AUOTHORI YRTOTV OLATEAOR CA CELE HE PROVISIONS OF AINY <br /> PERFORMANCE OF�CONS RUCTION.THATG AM ASUTHORIZED BY TNE <br /> A�PPLICATIONISISRMADE ANDPERCOMPLY WIT�HKTHE STATE FEE <br /> CONTRACTOFS lAW 1827 RCW AND 296200 WAC. <br /> X�[L'1 �lrl/�ff.�, J2' OD C1� <br /> /1/ 7 � <br /> Si nature JQ�✓' <br />