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�� <br />APPLICATi�N FOR ELECTRICAL r'ERMIT <br />CITY OF [V[RL�T <br />IlUILDING UIVISION <br />3200 CmAR STRfET <br />EVER[Ti� MA 98207 <br />259-88�J <br />, M � EVE�.ETT, t�A ��203 �52 ?�il� <br />^^ AL CHRISI�IJSE?! 45'2� �'IL� IPlCTCh Ly �aze ,p �,,o�� <br />ncr nai AEdress <br />SAM.E <br />�Ah1E <br />enant Mail Address -� ' <br />EYLAPIDER SALES �SE�?V]CE 3601 EVERETT AVE. E�I[°ETT !�'11 2�0-216]�FY-�n-rd � Sl�a��° <br />ectrica ontracCor � Mai ddress <br />�tY tatc tp ��one tate iccnsc o. <br />nESIDE�'CE Sl°IGLF FA"'IL� <br />------- roposed Usc af Building <br />ontract rice o Wor <br />roje t9d���;�iLf".INGTON , EVER.ETT, l•!A � _ _ <br />]NSTALL ?00 A!�D �EPVICE <br />^'.scriptian af kork Ta Be Donc: <br />NOTE: BECAPPROVED�BY THEuSTATETOFiWASH�NGTON,ELAPPLICANTS WITHTSUCHCJOBSNMUSTISHOWT��NE SiATERAPPROVEDCPLF�SA�EFOREEA <br />CITY OF EVERETT PERMIT WILL BE ISSUED. � <br />� 1 <br />� NOTE: WIRING IN NON-OWELLINGS IS REpUIRED TO BE IN CONDUIT. <br />�1=' i HEREBY CERTIFY THAT I HAVE READ AND� EXAMINED THIS <br />APPLICATION AN� KNOW TF1E SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF lAW3 AND OROINANCES GOVERNING THIS TYPE CF <br />WORK W�LL BE COMPLETE� WITH WHET1iEA SPECIFIED HEREIN GR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />� AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANV <br />� OhiEfi STATE OR LOCAI LAW REGULATING CONSTRUCTION OF THE <br />PEiiFORMANCE OF CONSTAUCTION. THA7 I AM AUfHOFIZED BY iHE <br />OWNER OF THIS PFiOPERTY TO PERFORM THE WORK FOR WHICH <br />CONT ACTO 5 LAW 1�8.27EflGW AND 96. �d'h'AC. �TH THE STATE <br />X �C�.� ra� Q ��-c�� \-\'i-`�� <br />D t <br />Signature <br />FEE ���' �� <br />