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H <br />M <br />�C.' � H <br />r x9 �' <br />H Z� <br />� H� <br />y y 0"+,1 <br />C�1 � � <br />OH�y <br />H t*1 G <br />Q Y (] <br />� H� <br />HH <br />g �' <br />�d� <br />��r <br />x H c�i� <br />HOw <br />� <br />APPL.ICAT�vN FOR ELECTRICAL ,-ERMIT <br />ontract rice o Work <br />�c%� <br />5 <br />Proposed Use of �ui.ding <br />P <br />��n oF ��� <br />6UILDING DIVISION <br />3200 CmAR STREET <br />EVERETT� MA 90201 <br />).,2_L�Z��q/ 5•i 5,r i <br />ro� j i Address' <br />Discription af N'ork To Bc Done: . fi j%/�i /��Jiii:�. � "' S� �5 �� ��h 1i� . l� �f � <br />NOTE: WAC 296-46-740 RECUIRES THAT PLANS FOR ELECTRICFL WORK AT EDUCATIO�lAL, INSTITUTIONAL OR HEAL?H CARE FACILITIES <br />BE APPROVED BY �(HF STATE OF WASfiINGTON. APPLICANTS WITH SUCH JOE35 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUEU. , <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />APPLICATION ANO KNOY/ TY1E SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS Of LAWS kND OFDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLFTED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OP A PEflMiT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE Ofi LOCAL LAW fiEGULATING CONSTRUCTION OR THE <br />PERFOFMANCE OF CUNSTRU�TION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR \YHICH <br />APPLICATION IS MADE AND I GOMPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br />X���- �-il- `� �' <br />Sig ure Date <br />_ :'/ / <br />FE'e . , <br />