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r i <br />i <br />2ss-sdio <br />APPLICATIvN FOR ELECTRICAL NERM�T <br />55 <br />�,c1 _�s' � <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CmAR STCEE7 <br />EVERETT� MA 98201 <br />enant Nail ddress ity tate ip hone <br />�onLrect Price ot Work . -Froposetl Use ot 6uilding -`- <br />�.�%/0. \�F�ry3cL'�� ��� � �Li.i'A � . <br />roject Address ' /'� <br />� <br />Discripcion of Work To Pe �one: ��i���� V �-�(1 <br />NOTE: WAC 296-46-140 REpUIRES THAT PlANS fOR tLECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE 0� �WASHINCTON. AP2LICANTS WITH SUCH JOBS MUST SHOW THE $TATE APPROVED PLAN$ BEFORE A <br />CITY OF EVERETT PERMIT 1:�LL BE ISSUED. � <br />NOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 8E TRUF_ AND CORRECT. ALI. <br />PqOVISIONS OF L4WS AND ORDINANCES GOVEHNING THIS TYPE OF <br />WOAK WILL BE COMPLETED WITH WHETHEH SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PAESUME TO GIVE <br />AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL lAW flEGULATING CONSTFUCTION Ofl 7HE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUfHORIZED BY THE <br />OWNER OF THIS PROPERiY TO PEflFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTFACTORS LAW 1827 flCW ANO 296204 WAC. <br />�1.JCV' �.� X i�c '/>��-1,L��� � /%-9� <br />Signature Oate <br />FEE ��J. � C/ <br />���.._; � �� <br />