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,-. <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> ci�v oF EVFxerr <br /> &IIIDING DIVISION <br /> � 3200 CmAR STREET <br /> EVERETT, MA 98201 <br /> SQ� sss-asro pra� I�Son I -,'� 2 75�2 �507 <br /> � �_) 2 6� eUFlt� K� na�� <br /> n r <br /> ai d ress �ty tate �p <br /> i � ` � <br /> nt ai ddress <br /> �ty tate ip Fhone <br /> e[�� ,.v ,�• �'YZ2� d.S`-��91 nL' z .2f.1� <br /> t tate �p one tate icense o. <br /> � ect ica n c or ai re s Y <br /> �C� �,. �// ��t <br /> �ntract rice o orc roposed se o ui ng <br /> -o�t Add�es�s'�.._��-�� -- <br /> �, / �,r���,� <br /> iscription of Work To Be Done: ��G�� � �`'�� -��� <br /> �OTE: WAC 296-46-140 REOUIRES THAT PLANS FOP, ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITI[S <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. <br /> NOTE: WIRINC IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND CARRECT.ALL . <br /> WORKS'MLL BEF OMPLETED WITH WHEETHEA S ECIFIED HEREN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE <br /> Al1THOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULA'nNG CONSTFlUCTION Ofl THE �� � <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY lHE <br /> �ppLICATFONISISRMADE ANDPERCOMPLY WITHK HEp S ATE FEE <br /> CONTRACTOFiS LAW 1827 RCW AND 296.200 WAC. <br /> X %' p.����.,—` 5'-Z <br /> ignature �\�i <br /> ,���� <br />