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APF'LICATION FOR ELECTF�ICAL PERMIT <br />� <br />CIIY OF EVERETT <br />BUIID�NG DIYISION <br />3200 CmAR STREET <br />EVERE7T� MA 98201 <br />enan�y — ai ress ity tate ip one <br />` 1 � <br />c ectr ca ontr...:tlr ai ress <br />Ob <br />�ontra � rice o or <br />)iscription of Work To Be Do:�e: _ � E/ <br />SkatelZip Phone Jcace ��cense no. <br />�� �/EmP�oct�2'iG ��� �LS J <br />�ropose se o ui ng <br />70 � 71 <br />NOTE: WAC i96-46-140 REpUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH 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 AEAD AND' EXAMINED THIS <br />APPLICATION ANO KNOW Tt�lE SAME TO BE TRUE AND COflRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WIT:� WHE7HER SPECIFIED HEREIN OR <br />NOT. THE CaRANTINCa OF A PERi.t!T DOES NOT PRESUME TO GIVE <br />AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE Ofi LOCAL lAW REGULATING CONSTRUCTION OH 11iE <br />PEPFORMANCE OF CONSTRUCTION. THAT I AM AUTHOflIZF.D BY THE <br />OWNER OF THIS PROPERTY TO PEF;FONM THE WORK FOR WHICH <br />AppLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS LAW 18.27 RCW AND 296200 WAC. <br />�� ��%"/.5 �,� <br />Signature Date <br />� coCJ <br />FEE � w � <br />3� 3 �`% <br />