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^ <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> � I�"-�-L ��• � Y� cirr oF evexErr <br /> ����/ `/C��� `-�""� �L>3200 CmAR'STREET <br /> ` EVEREIT, MA 98201 <br /> 259-8810 .��5"����� <br /> �+ �IIS`� rJ£. I(obT'{ P� <br /> J�G�C�F�1� �Sinc,� �lac���, —�x,�4,a\\ , �P Q$nl � '��� �(ol n <br /> nner Mail 6tldress t�{y-�tate p 'hone <br /> enant at dress ity tate i <br /> P one <br /> �, �.�QC�c'�c�r�. Q� `.�Ch- �S`�1 1 �• i�il�C 70��}c� • �9'�-��� �SELEX �O(o(cBlb1 <br /> ectr ca ontractor a dress �ty tate p one Tate cense o. <br /> � `�� �R¢S��QYICQ/ <br /> ontracc r ce o ork roposed se o u d ng <br /> U��� �Llv(K1 �11Q� . , <br /> ro�ect ress • <br /> iscription of Work To Be Done: ��'.YY� (�oCc�fu lo�aJe•� 1 oIQ � <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SF.�W TNE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. � <br /> NOTE: WIRING IN NON-DWELLINCS IS REOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE REAO AND' EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF � <br /> WOHK WILL BE COMPLETED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOAITY TO VIOIATE OF CANCEL THE PROVISIONS OF ANY � <br /> OTNEfl STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY 7HE <br /> OWNER OF THIS PROPERTY TO PEPFORM THE WORK FOR WHICH FEE ��5� <br /> APPIICATiO IS. MADE AND I COMPLY WITH THE STATE <br /> CONTRACT U1W 1827 RCW AN 296.200 WAC. <br /> X �,i , � � �.%�' �� <br /> Sign�a, ura Date <br /> / <br /> � <br /> I <br />