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�z-17 <br /> �\ � <br /> 1�v APPLICATION F �����I L PERMIT <br /> DEC 14 1992 ciTv oF t�xErr <br /> � BUILDINC DIVISION <br /> CITY �OF EVERETl'r 3200 CmAR STREET <br /> 259-8810 ��TT, MA 98201 <br /> PuWiC Works Dept. <br /> �11n�yrr� \�W\O�,U.�o—'c� +z�� 3�� c Ws. � ��SDo;z za. Ga4 � �3 <br /> Mai ddress �ty tate rip hone <br /> �nant ai ddress <br /> �tY tate ip one <br /> ,��e.usc�i� �F.c �. �C� �Ati. ��Z(D A c�inU'��r � �Id�Yc�+ zC�,+ 4Q�0'l.�'t I'E2CiUPcI ,�. <br /> ectn cal ontractor ai dress ity '3tate Zip one tate Cicense o. <br /> � 3 C�s"' ��=A�N� ' <br /> ;ntract n ce o or roposed se o uilding <br /> 543a -a5TM Q�� ,�W L r � <br /> oject ddress <br /> scription of Work To 9e Done: � �s(LL ,.Llf_�v �Sr_pE,C.G£ � <br /> �DTE: WAC 296-46-140 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. �� =v <br /> 70TE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFlECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF ' <br /> WORK WILL BE COMPLEfED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OFi LOCAL L4W REGULATING CONSTflUCTION OR THE <br /> PERFOFMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE `�' ��� � <br /> OWNEFi OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH p� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTO S LAW 78 RC AND 29 .200 WqC. <br /> /z �z <br /> Signature D te <br /> � , �; � 99� <br />