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:, ,�. . <br /> t+7 y <br /> by� N i .,� <br /> t� H fA <br /> ►�e�� ��61� � <br /> ��� APPLICAI`iJN FOR ELECTRICAL ��'ERMIT <br /> yx <br /> � ''�' d cin oF ev�Err <br /> {� BUIIDINC DIVISION <br /> [+1 3200 CmAR STREET <br /> H <br /> �� � EVERETT, MA 98201 <br /> �xy� 259-881Q ,,�uo 1�;,31 CoII� �ti�- Ev•�Y�-1-1- `lb�l '�.5�—�5co <br /> -'H Robine�-t � ISrc. lc9 �,{ <br /> g� H r �J/���.0 l/OC.� �307 l39 �f'�� sC .�'�U �ry 5�� �'�S�z <br /> G]l�N �r� �" Ma�1 ddress ity State ip hone <br /> 09 '�," <br /> R1 <br /> �� e�ti ai d ress ity tate ip hone <br /> �L � <br /> / <br /> .�tU� Lzt�z�cc „�c N� �do/ msv� y�Sz7v 6s35Y3s �-r�o�-�szzJ�. <br /> ectr:ca ontractor �ai ddfess ity State ip one tate ic-nse o. <br /> S'Fr�- 2�0 �n� <br /> ontract rice o or . . Proposed Use o Building <br /> .� (3`� c�7 � "JI � . <br /> ro�ect �ress . <br /> Discription of Work To Be Done: ��+� �vLr S L-�2 ���CLT �U(/�(�' /�Gfn� FV����GL <br /> ' � <br /> '�' <br /> ' 1 <br /> 1�/ <br /> NOTE: WAC 296-46-140 REpU1RE5 THAT PLANS FOR ELECTRILAL WORK AT EDUCATIONAL, INSTiTUTIONAL OR HEALTH CARE FACILITIES <br /> ��1 8E 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 /> � <br /> �' NOTE: WIRING IN NON-DWELLINGS IS REpUIRED TO BE IN CONOUIT. <br /> '� I HEREBY CERTIFY 7HAT I HAVE READ AND' EXAMINED THIS <br /> AP?LICATION AND KNOW THE SAME TO BE TRUE AND COFRECT.ALL <br /> 1�' � PROVISIONS OF IAWS AND ORDINANCES GOVEflNING THIS TYPE OF <br /> � WORK WILL BE COMPLETED WITH WHEfHER SPECIFIED HEREIN Oq <br /> ' ' NOT. THE GFANTING OF A PERMIT DOES NOT PFESUME TO GIVE <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OP ANY <br /> OTHEA STATE OR IOCAI LA'N REGUTATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE (�O <br /> ''1 OWNER OF THIS PFOPERTY TO PERFOFM THE WORK FOR WHICH FEE �� <br /> APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br /> CONTFUCTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> ,'_ _ _ X // 1�.��� � ��L[ �/Z <br /> ( VG <br /> Signature �ate <br /> � <br />