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��� <br />a�x <br />5w <br />H xH <br />�C c� <br />H �l <br />�y� <br />Hx <br />h7 O � <br />Hl7 <br />H^�g <br />Y. V � <br />t" y � <br />yy <br />H <br />CC� C fn <br />C�7 � M <br />HOy <br />APPLlCATION FOR ELECTRICAL PERMlT <br />?� r�/!h �; _i.�% <br />cin oF eveaErr <br />6UIIDINC DIVISION <br />3200 CmAR STREET <br />EVEREfT� MA 98201 <br />wi� 3�3— �0�7 <br />enant Mail ddress ity tate ip hone <br />U'� .�U � <br />ontract Price o Y7ork <br />�� Sy�"s-t � � �.�e���-rf <br />ro�ect Address <br />Discription cf Wo^k To Be Dene: <br />, <br />✓lor;-)I�1' I/�I1, � <br />y [atc ip <br />Propose�ui ding <br />�� <br />Str,�rr-r• izi- <br />NOTE: WAC 296-46-140 REOUIRES THAT PLA175 FOR ELECTRICAL KORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVE� BY THE STATE OF WASHItIGTON. APPLICAI7TS WITH SUCH J085 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL 6E ISSUED. . <br />NOTE: W�RING IN H�N-�WELLIHGS IS REpU1RED i0 9E IN COIJ�U�T. <br />I HEREBY CERTIFY THAT I HAVE READ AND� EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TflUE AND COFRECT. ALl <br />PROVISIONS OF LAWS AND OP.OINANCES GOVERNING THIS TYPE OF <br />WOFK WIU. BE COMPLETcD WITH WHETHER SPECiF1ED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OF CANCEL THE PROVIS�ONS OF ANY <br />OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTPUCTION. THAT I AM AUiHOFIZED BY THE <br />OWNEF OF THIS PROPERTY TO PEPFORM THE WORK F07 WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW iB. FCW AND 296200 WAC. <br />X %/j �, ���y � ;� �%r ��"�`>' �Z <br />Signature Date <br />FEE <br />`/ <br />/ / > <br />)-,, J (�I L�� <br />1 <br />