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APPLICAi �UN FOR ELECTRICAL rtRMIT <br />P <br />�a,� � ,, �. <br />ctTr aF �aerr <br />BlI1LDINC DIVISION <br />3200 CFDAR STREET <br />EVERETT, MA 98201 <br />/ '�5�-23:�- <br />enant Mai d ress ity tate ip one �5 l <br />} <br />l <br />`5,��,`�-, � ���o / / NE /y'�.� /O �-�.� i• <. P �i�a� �jiJ- �� Secu.e.saE /�6� <br />F r..�a �r.r o� ai �ess ity —�te i one tate icense o. <br />��a•oc <br />ontract rice o or <br />�y/3 S6� S�� S�� <br />Discription of Work To Be Done: <br />S.�-.-� o� � �� � <br />'�ropose�e oi�Bu�1�dT�g <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JO85 MUST SHOW THE sTATe AP�ROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUEO. . � , <br />NOTE: WIRING IN NON-DWELLINCS IS REOUIRE7 TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND' EXAMINED THIS <br />PFlOV SAONS OF UWS AND ORO�ANCES GOVERNING THI�S TYPE OF <br />WORK WILL BE COMPLETED WITH WHE7HER SPECIFlED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOFiITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL U1W REGULATING CONSTRUCTION Ofl THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEFTY TO PERFORM THE WOFK FOH WHICH <br />APPLICATION IS MADE AND I COMPIY WITH THE STATE <br />CONTRACTORS lAW 18.2i RCW AND 296.200 WAC. <br />X _ n-G `� j0_���c13 <br />5�9!at e Date <br />c <br />FEE 3O "�� <br />