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wr ...w <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> C.�a I�j J ��S 3200 CmAR ISTREET . <br /> /� �`,��,�7 /� „ � �� EVERETT� MA 98201 <br /> 259-8810 (/��' S���;'�.s` � <br /> 7�./a -o�7/a <br /> �A/�n71 �a.�5 7 �O 0,7 J�O/�FL � �,9� /1,�� G ��H/��� ��/� 7J"LY� `7Y.� "�D�/ <br /> wner Mai ddresc ity tate ip hone <br /> enant ai d ress ity tate ip one <br /> L�J�.C/Nuc✓ CCFvf U,•�t� ��Jd�� ��''��U�' � CcYi�t�o.�c/5 i17d�a� ��7/��i////��/y�%/07�� � <br /> E�ectn cal on ractor ai ddress ity �t^te ip one tate icense o. <br /> �--�`�-a'° /a-�;f �iv�s <br /> ontract Fric o or Proposed Use o ui�in <br /> �a�,2.� / �"-�/�U� �� Id�,rnt'�i` <br /> ro�ect Address <br /> Discription of Work To Be Done: //U/�t /� ��/1�9�x �� � G�i1 /�'D� <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 JOBS MUST SHOW THE STATE APPROVED pLANS BEFORE A <br /> CITY OF EVERETT PERMIT WIC[ BE ISSUED. � <br /> NOTE: WIRING IN NON-DWELLINGS IS REpU1RED TO BE IN CONDUIT. <br /> I HEREB: CERTIFY THAT I HAVE REAO AND' EXAMINED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOFK WILL BE COMPIETED WITH WHETHER SPECIFIED HEFlEIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 7HE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOFiK FOR WHICH FEE �9� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1027 RCW AND 296.200 WAC. <br /> X c �,CI' � � u� �oT/�.� <br /> Siqn ure �ate <br /> 3 ��SCo <br />