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APPLICA�ON FOR ELECTRICAL �ERMIT <br /> �iTr oF �Err <br /> BUILDINC DIYISION <br /> 3300 CEDM STREET <br /> EYERETT, MA 98201 <br /> 259-8810 <br /> � Lt'�t' <br /> ty tate ip hone <br /> ner Mail ddress <br /> �ty tate ip one <br /> enant ai d ros:, <br /> �ia, wu S'CSd�90 70 � r„ ..ec�aoDl�-- <br /> >�T�y� � I�5�0�1 S1MeiJ � phone 5 ate cense o. <br /> ecCr ca ontraetor Mail-Add(ess ity State <br /> � ' prupos Use o ui �g <br /> ont ei r ce o or . <br /> n <br /> �"J <br /> ct ddress <br /> Discription of Work To Be Done: �•�l�1C'�-�--- <br /> NOTE: BECAPPROVED�BY THEUSTATETOFTWnSHNNGiON.ELAPPLICANTS�WITHTSUCHCJOB5NMU5TI5HOWTTHEOSTATERAPPROVED PLANSABEFOREEA <br /> CITY OF EVERETT PERMIT WILL 8E �SSUED. � <br /> NOTE: XIRING IN N0�-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HEFEBY CERTIFY THAT I HAVE READ AND' E%AMINL.7 THIS <br /> APPLICATION AND KNOW T11E SAME TO BE TRUE AND COFRECT.ALL <br /> PFOVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> NOT.THE GFANTOING OF AD ERMIT DO SENOT PR'ESUME TO GIOVE <br /> AUTMIORITY TO VIOLATE Orl CANCEL THE PROVISIONS OF ANY / <br /> OTHER STATE OR LOCAL LAW REGUTAT�NG CONSTRUCTION OR THE � <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED 8Y THE <br /> �APPL CATIONISISRMADE A�OPE COMP� W�OHKTHE STATE FEE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> x �_ 39�aa <br /> oec� <br /> ignature <br />