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APPLICATION FOR ELECTRICAL PERMIT <br /> cin oF �Err <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERE7T� MA 98201 <br /> 259-8810 <br /> ��� � � <br /> f <br /> ,/Uc�<� 6-�clanrl /�fo�MPt �IotO (17r,�(��� �u,u �vi ��1c% �(_J�._ 9RoZ/ 775-OLn97 <br /> )ener ai ddre s � ty �State/ p hone <br /> enant ai ddress ity tate ip hone <br /> F�ousun Ele�n-ic � l�� Pvs iiz�,o� v„d,nv�'! e t�a9 9��d �('b�f93�, F , cur���k <br /> = eetr e ontractor a�T ress ity tate p ne ta[Z eense o. <br /> �a�d(7i a/30Oso�� �GSi[ICn'�7C.� <br /> :ontract rice o or roposed se o ui ding <br /> 5y0Y� <br /> 3�-e�A�h��,�- Ave_ <br /> ro�eet ddre�i—ss <br /> {scription of Work To Be Done: /1/Q(.�l �PS�c{C/}�ci.[ !.�(il,(/9G � <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUiIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLIC,qNTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT XILL 8E ISSUED. " <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TFiUE AND COqRECT.ALl <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TrIIS TYPE OF <br /> WORK WILL BE COMPIEfED WITH WHETHER S?ECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOl' PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE P410VI�IONS OF ANY <br /> OTHER STATE OH LOCAL LAW REGULATING CONSTF'VCTION OH THE <br /> PERFORMANCF OF CONSTRUCTION.THAT I AM AU7,IORIZED BY THE <br /> OWMER OF TF!%: PROPERTY TO PERFORM THE WJRK FOR WHICH FEE <br /> APPIICATION IS MAOE AND i COMPLY SV�T:-I THE STATE <br /> CONTRACTOiiS LAW 7827 RCW AND 296.200 WAC. <br /> �.� - <br /> rJ'� /�� b-2d-9S <br /> gna[ure , � � Date <br /> U � ,;.� <br /> �/.,� �'�� <br />