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� " <br />� y <br />ro <br />Y '3 ~ <br />��� <br />o�o <br />ro y N <br />� H � <br />� � �H <br />`+ N <br />N <br />G N <br />� � r <br />� � <br />/.. . _. \ <br />I �� <br />� <br />APPLICATION FOR ELECTRICAL I�ERMIT <br />�L <br />iwncr <br />�c��,��li� Lr:;_ <br />CITY OF [VERETT <br />�UILDINC DIVISION <br />3200 Cm�R STREET <br />EV[RETT, MA 9�201 <br />,-� S `' . � c , ?. I.r <br />enant Ma� �ddress ity tatc �p honc <br />��c��5 �r i 'r ��j�C.- ��'Py'Y H�'� `� :�l�oc�r�.!• <br />: ecl trical o tractor M i ddress ��tY <br />:on[ract Pnce o Work <br />e <br />�� = `� I `. -/-'( . r <br />roposed Use o uilding <br />�� � I.� C` t1\c`Q V= — <br />ro)ect Atldress <br />- i_ � _ <br />iscrip[ion of Work To 6e Done: -� ��� ' <br />�� <br />NOTE: BECAPPROVED�BY THEUSIATETOFTWASH'INGTON.ELAPPLI ANTSOWKTHTSUCHCJ06SNMUST'SiOWTTHE STATERAPPROVEDCPLANSABEFOREEA <br />I�� CITY OF EVERETT PERMIT WILL 8E ISSUE�. <br />NOTE: WIRiNG IN NON-DWELLINGS IS REOUIR[� TO 9E IN CONDUIT. <br />�� <br />I HEREBY CERTIFY THAT 1 HAVE READ AND' EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />`''� � WOflK WILL BE COMPLEfED WITH WHE711ER SPECIFIED HEREIN OR <br />�I I NOT. THE GRANTING OF A PEflM1T OOES NOT PRESUME TO GIVE <br />AUTHOFiITY TO VIOLATE OR CANCEL THE PHOVISIONS OF ANY <br />'I , OTHER STATE OR LOC 1L LAW REGUTATING CONSTRUCTION OR THE <br />acaFORMANCE OF CONSTRUCTION. THA71 AM AUfHORIZED BY THE <br />' OWNE� OF THIS P�JPERTY TO PePFORM THE WORK FOR WHICH <br />�I.�I APPIICn�!�N ;� MADE AND i COAIPLY WI7H THE STATE <br />� CONTRACTORS LAW 18.27 flG�'d AND 296.200 WAC. <br />�(,Q��(/i��i',�L� � � S" —Y�- <br />� Signature Oatc <br />e <br />i <br />FEE �l� <br />j %>'S��c <br />� <br />