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� <br />APPLICAI _ JN FOR ELECTRICAL .'ERMIT <br />� a2..�1. <br />P <br />cin oF �err <br />BUILDING DIYISION <br />3200 CEDAR STREET <br />EYERETT, MA 98201 <br />�8— q sz <br />�ty tate ip hone <br />enant ai ddress <br />�t tate ip hone tate icense o. <br />ectrical ontractor ai ddres< Y <br />ontract Price � 3�U3 -51a-� ��SL.J <br />..:. <br />Discription of Work To Be Done: <br />i <br />�4` /l: L�LL ��i�� RGQ <br />roposed o ui di <br />NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT FDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />8E APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH 5�'CH 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 />� HEREBY CEfiTIFY THAT I I1AVE READ AND' EXAMINED THIS <br />APPUCATION AND KNOW THE SAME 70 BE i'FiUE AND CORfiECT. ALL <br />PiiOVISIONS OF LAWS AND ORDINANCES GOVeRNING iHIS TYPE OF <br />OT. T E GRA T�ING OF AD ERMIWDOESENOT PRIESUME TO GIOVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />p pFORMANCOOF CONSTRUCTION.`THAT I AM AUTHaRi ED 8Y THE <br />OWNER OF THIS PROPERTY TO PERFOF;M THE WORK FOF WHICH <br />APPLICATION IS MAOE AND I C�MPLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 296200 WAC. <br />X <br />Signature <br />Date <br />��n] <br />/���'� <br />FEE � <br />