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x '-0 <br />Ch�y <br />,oxx <br />C.' H <br />a�3cn <br />y�3 <br />K � <br />H �1 <br />� H'� <br />(p H <br />H <br />� O - <br />H C7 <br />��g <br />G�. Cn <br />xy H t�l <br />rHH <br />ti <br />C] C7 y <br />��� <br />HO� <br />✓+"-;` r. <br />APPLICAT��N FOR ELECTRiCAL t�ERMIT <br />; / s�r �� / �- z ��� <br />r <br />CIT7 OF EVEREfT <br />WIIDING DIYISION <br />3200 CmAR STREET <br />EVE1tETT� MA 98201 <br />GG'v: �i, j;:=d / :;�5.>r' - p <br />enant ai d ress ity tate ip hone <br />%C � —�- <br />��icalZontraetor Mai dress ity State i� hon"P e Ttate cen—Li se�7o: <br />�� � <br />ontract rice o or ropose se o ui dtng <br />- � <br />�' ,; <br />, ,�: <� � /. � � _ <br />Discription of Work To Be Done: 1� <br />i � C'w��'P.�� <br />�2 G - <br />�< <br />�� NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR NEALTH CARE FACILITIES <br />8E APPROVED BY THE STATE OF WASHINGTON. APPLIGNTS WITH SUCH JO85 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />1 w CITY OF EVEPETT PErZMIT WILL BE ISSUED. . <br />NOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />b i�" l <br />+ ( � <br />I HEREBY CERTIFY THAT 1 HAVE READ AND' EXAMINED THIS <br />APPUCATON AND KNOW 7HE SAME TO 8E TRUE AND CORRECT. ALL <br />PFUVISIONS OF UW° ANO ORDINANCES GOVERNING TNIS TYPE OF <br />WORK'NIL'_ �E COMPLETcD W�TH WHE7HEA SPECIFIED HEREIN Ofl <br />NOT. THE GRANTING OF A°.=aMIT DOES NOT PRESUME TO GIVE <br />� AUTHOFiITY 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br />PCRFOfiMANCE Of- CONSTAUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEPFORM THE WORK FOq WHICH <br />APPLIGATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 flCW AND 296200 WAC. <br />X � � � <br />l�L-,�..i,��J /` c� L � �' - �� — i � <br />Sigr.aturn Date <br />FEE ::� �) �` �— <br />' l� �/ �� _ <br />GI <br />� <br />A <br />e <br />