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� f <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> .. ��r� � <br /> c�1v oF �xerr <br /> BUILD�NG DIYISION <br /> 3200 CFDAR STREET <br /> _ EVE1tEff, MA 98201 <br /> 259-8870 <br /> ���,w�,�.� /y'�/5� �,��,� ��..--�,c�w�_. ��� 6 yy-z3 z 3 <br /> � Arner ai ress ity ' State p ' one <br /> �� enant ai ress ty tate p one 5S8 . <br /> ��f S'.�,.e7�i"..a_ i�9it/ �/� /5��..-,��'9� �i� !vq 9£f'o3y 8.10-oyBS .Secu,�� �c361J,f- <br /> �' �ctn'q�f ractor a T7�ddress tCi y ��tate7' p one tate censC{-�—' <br /> , <br /> i /,SO� � � ��� <br /> ontract r ce o or ' � ropose o ui ng <br /> . �t FrslO�d ress—��� � f�"��- �9J-.n�- � I � ; . <br /> � ' Discription of Work To Be Done: �C01�—.h,��LP/liT-,� .���� <br /> i <br /> , � <br /> 1 ' <br /> � • __ <br /> � <br /> ' � � <br /> .� <br /> � NOTE: WAC 296-46-140 REOUIRES 1HAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIlUTIONAL OR HEALTH CARE FACIU T1ES � � �;� <br /> BE APPROVED BY THE STATE OF XASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT W�LL BE ISSUED. <br /> " NOTE: MIRINC IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUfT. <br /> : <br /> b <br /> � I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> ' APPLICATION AND KNOW THE SAME TO BE",'RUE AND CORRECT.ALL <br /> � PROVISIONS OF LAWS AND ORDINANCES C.OVERNING'THIS TYPE OF <br /> , �'; � WORK YV�LL BE COMPLETED WITH WHETHER SPECIFlED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> , � AUTHORITY TO VIOUTE OH CANCEL THE PROV�SIONS OF ANY <br /> OTHER STATE OR LOCAL WW REGUUTING CONSTRUCTION ON THE <br /> � PENPORMANCE OF CONSTRUCTION.TNAT I AM AUTHORIZED 8Y THE �O� <br /> OWNEFl OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH � <br /> � � f ApPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS L1W 7827 RCW AND 296.200 WAC. <br /> i <br /> , X t 1 <br /> - Signatu D Ce <br /> I <br /> i <br /> I <br /> I <br />