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��� <br />!HN <br />H�i-�+ <br />K � <br />��� <br />� ��xpp <br />OHd <br />��g <br />Qw �i <br />�H� <br />NH <br />� � <br />M <br />��W <br />OW <br />�� <br />,--, <br />APP�.IC.11 �JN FOR ELECTRICAL r ERMIT <br />L 3�`���' i(/. in� ,�1��e, w{� <br />cin oF er�xx��r <br />oui�niNc oiwsioN <br />3200 CmAR STKEET <br />EVERETT. MA 98201 <br />��G �=�y/ <br />hono <br />enant Mai d ress ity tate ip hone <br />-�-i 1�4 .�ok 7 C� �� � lfl I� 33���Z�s twrt 1�tS ,� IL.? l� <br />�i-�. I�. S�i ( s�e c � nw� � t <br />/Da .Jb <br />ontract r ce o or <br />s <br />DiscripYion of Work To Be Done: <br />s�%- <br />roposed se o ui dtng <br />�� �K C Q I I�-S G <br />NOTE: WAC 296-46-140 REpUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIGNAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVEO BY THE STATE OF WASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />,CITY OF EVERETT PERMIT WILL BE ISSUED. � <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />� I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />��1! APPUCATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />i PROVISIONS OF IAWS AND OR�INANCES GOVERNIM1.i THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HFREIN OR <br />� NOT. THE GRANTING OF 4 PERMIT OOES NOT PRESUME TO 31VE <br />� AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF AIJY <br />OTHER STATE OR LOCAI lAW REGULATING CONSTR;ICTION OR T1E <br />� FERFORMANCE Of COK iTRUCTION. THAT I AM AU'HJRIZED BY THE <br />OWNER OF THIS PROPEqTY TO PERFORM THE WOFK FOR WHICH <br />_.. APPLICATION IS MAOE AND 1 COMPLY H9TH TH[ STATE <br />CONTRACTORS lA . RCW AND 296.200 WAC. <br />X�__. <br />�.� �z�i� fL _ <br />• re Ozte <br />., S. _- � <br />FEE ��"' <br />F-.s%�3� <br />