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� <br /> APPLICAI �JN FOR ELECTRICAL r'ERMIT N����I7 <br /> CITY OF EVFREf'f <br /> BUILDINC DIVISION <br /> 3200 CEDAR STREET <br /> fiVEREIT, MA 98201 <br /> 259-8810 �(�S-l3l t <br /> C. („( 2(6 KT G�Ns� ,. ��+ 0 0 .r a 9�z�o -l3s� <br /> ty tate p one <br /> ner a ross <br /> � <br /> ; :.' � . . � � one <br /> ty tate ip � � <br /> � � enant ai ross L <br /> i �1�� t.n/ ECEGTAfL �1 ��0 ZZw� -S�fG «�VN/(Elret�lA.��'?os oney97r5tata C�cense �NA <br /> ! ectr ca ontractor a 0°f°S ' <br /> � ' ry <br /> t �� a �� ' �� � ropose se o �i ding <br /> ontroct r ce o or <br /> ' � �08' 26tti v� s� �v�a �d� a� <br /> �� '-� � ro ect ross <br /> �� ` — E. �..l .SF� — 00 M <br /> �; Discription of Work To Be Done: <br /> i a� � � <br /> � �," <br /> e <br /> ! . � <br /> NOTE: BECAPPROVED�BY THEUSTATETOFTWASHNNGTON.ELAPPLICANTSOWKTHTSUCHCJOB5NMU5T'SHOWTTHE�STATERAPPROV D PLANSABEFOREEA <br /> CITY OF EVERETT,PERMIT WILL BE ISSUED. ' � <br /> NOTE: WIRING IN NON-DWELLINGS IS REpUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> APPLICATION ANO IWOM1 TFiE SAME TO BE TRUE AND COfiRECT.Al.� <br /> � PqOVI510NS OF LAWS AND ORDINANCES GOVEPNING THIS TYFE OF <br /> WOpK WILL BE COMPLETED W�'���SPECIFlED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE I <br /> AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE�fi�OCA�LAW REGULAT�NG CONSTRUCTION OR THE $��oQ <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEHTY TO PERFORM THE WORK FOR WHICH F� <br /> CONTRACTORS LAW 827 RCW AND 96.200 WAC. ITH THE STATE <br /> x a`i�'^~t ^"�--_ � zd q <br /> ate <br /> Signature <br />