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APPLICATiON FOR ELECTRICAL��PERMIT <br /> CITY OF EVERETT � <br /> BUILDING DIVISION <br /> 3200 CmAR STREET <br /> EVERtIT� MA 98207 <br /> 25.9-8870 <br /> Jo�� e'turu (1"1ic�0.�� fh�(.z�n%i �'1 �� �I� �� L��PYL� _ �U/T �,� � JJ�1� I�i��7 <br /> ner Mail Address ity State ip hone <br /> enant Mai ddress ity tate �p hone <br /> S�I � -f-�— ity tate i hone tate icense o. <br /> Electrical ontractor Mai .ddress P <br /> ontract Price o Work � roposed Use of Building <br /> �yll II�Ft, 4E . <br /> roject Address � <br /> r r I /� � '� <br /> Discription of Wor� To Be Done: �1�� �{ -1Gn [LKO � r�-� }'v� u � �G,��rcJN^ ? p�-� i5 <br /> r <br /> � �u r e G ,d �� �l,�r" h-c+' �u Jr�c-w� <br /> NOTE: W�C 296-46-140 REQUIRES THAT PIANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIO!JAL OR HEALTH CARE FACILITIES <br /> BE APPROb'ED BY THE STATE OF WhSHINCTON. APPLICANTS WITH SUCH JOBS MUST SHOW TH[ STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. . <br /> NOTE: WIRINC IN NON-D4IELLINGS IS REQUIRED TO BE iN CONDUIT. <br /> I HEPcBY CERTIFY THAT I NAVE READ :,ND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAIdE TO BE TRUE AND COflRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS M'E OF <br /> NOT. THE GRA T NG OF A�PEflMIT D ESENOT PFESUME TO GNE <br /> AUTHORITY TO VIOLATE OR CANCEL �THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL lAW FEGULATING CONSTFUCTION Ofl THE n' <br /> PERFOFMANCE OF CONSTflUC fiON.THAT I AM AIIfHOFIZED BY THE � `) <br /> OWNEF OF THIS PROPERTY TO PERFOFiM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS:AW 1827 fiCW AND 296.200 WAC. <br /> X � � � , C �J <br /> ��,,� �JCa� �-- �L "I <br /> �ate ^ � � <br /> Sign re ��� � <br />