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i. <br /> '� � APPLIC�ITION FOR ELECTRICAL PERMIT <br /> � cin oF ev��rrr <br /> tfU1LUINC DIYISION <br /> 3200 GDM STREkT <br /> EVERETT� MA 982G1 <br /> 2ss-aaro <br /> �Di �c l'/1 c1IN� ?1C� r f� E. �,�1/�< �J� 9i'/o�,� SB�-zvb� <br /> Uwner ��j 1F—a+TAEtl�ess u[y taie/�.tp �hone <br /> enant Ma� dtlres: �ty taec �p hone <br /> t< <br /> �y�2�,c�� F/Ef,�.� 7��a�/ N�i�s" - �,/1,/l /,J� �San jG�/-LOSG L=u��,ec�r�yor.i <br /> ectnca ontractor Mai JdfesT��ity —S�a[e/Z�p�hone tate icense o. <br /> ���'J .�, �� �'�N�iY/FY-«ia-� %i��/. �nfcr� <br /> on[C rac[ Pr ce o ork �rcposetl---Use ofBu'i'�in <br /> ��.�.Q �C�t���l/E �.� <br /> Pro]ect AEOress <br /> Discription of Work To �c Done: � � �� �nU'7 S<9".-d' A �/� � � � ��/.<'<<iG��,f/�� �'��i _ <br /> � <br /> �(o C/RA.iuI,����.�1-r�u ,- iw� 1C/�1+.�?aNcJS� <br /> iJ <br /> NOTE: WP.0 296-46-140 REO�IRES THAT PLANS FOR ELECTRICAL M'OPR P.T E�OCATIONAL, INSTITUTIONAL OR FEALTH CARE FACILITICS <br /> GE APPROVED BY THE STFTE OF WASH117CTOtL APPLICAHiS WITH SUCM lOBS MUST SHON THE STATE APPROVEO PLANS OEFORE A <br /> CITY OF EVERETT PERMIT WILL BG ISSUED. . <br /> NOTE: MIRING IN NON-DWELLINCS IS REOUIRED TO BE IN C7NOUIT. <br /> I HEFEBY CERTIFY THAT I HAVE FEAD ANO' E%AMINED THIS <br /> APPLICATION ANO KNOW TME SAIAE TO BE TRUE ANO COflflECL ALL <br /> PRO'✓ISIONS OF lAWS AND OFOINANCES GGVEFNRIG THIS iVPE OF <br /> WORN WILL BE CON�PLETEO YlITH WHETIIER EPECIFIE�HEPEII!OF <br /> NOT.THE GRANTING OF A PERMIT DGES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OA CANCEL THE PFO�ISIONS OF ANY <br /> OTHER STATE OR LOCAL lAW FEGIIIATING CONSTRUCTION OR THE <br /> PEFlFORMANCE OF CONSTRUCTION.THAT I AM AUiHOR2ED BY iHE <br /> OWNEFi OF TMIS PROPEflTY TO PERF-0RM THE WORK FOR WHICH FEE � �� _� �' <br /> APPLICATION I$ MA�E AN� I COM1IPLY IYITN THE STATE <br /> CONTRAL: +LAW�0.2i flCW AND 296200 WAC. <br /> X � /� <br /> /(.(/JID�n,� �Z//2_ <br /> 5i� oac� <br /> n�r7 ' � <br />