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APPLICAi�vN FOR ELECTRICAL r'ERMIT <br /> /� ��N OF EV[REfT <br /> // �UILDING OIVISION <br /> r� 3200 CmAR STNEET <br /> V EYEIiETT, MA 99201 <br /> 259•8810 <br /> Ci/G� �� �D�'/L'// ' J��/�� �E%(�Cl/ �J, GI�P%C'�� �]/i =�iU/� X'�!H' <br /> c <br /> ner ' Mai tleress ity ta[el ��—Phone <br /> ,. - ;�� <br /> � "' �Fi� /7PoJ � � 5'�� <br /> �si� <br /> enann ai E ess �ty�tace17�p—Fhone <br /> A�SoCiU'�Plr F�ELf� i� 'tlzJl}U i - °l�p-�6�"F�6��'-� � � r�G�7/`��036�7YF e-�njr";'�c'�CO.c^.4L <br /> ectrica onVac[or Ma�AtlCress �ty—�S[a[e/Zip h C t <br /> ����/>in" �IF�P ��aflOFi <br /> on[�[Prite a ork �oposed Use� u� Gtng <br /> a�'G�-i3����> <br /> rP ojecc ACeress <br /> Discrip[ion ot Work io Be Donc: LI SfC��� l."X/S��7G (.7/i�"��!///F�I L���� �C'%l�� /"/�U�Ci' 1����� <br /> r <br /> ��l�nl,ou�� li�;e oud Ca� �%rf �o� � �f,xisfn,o ��a�,�% �o �or�/-i�evder. <br /> � � <br /> Y.OtE: WAC 296-46-740 REOUIRES THAT PLANS FOft ELECTRICAL WOPK AT EDUCATIONqL� INSTITUTIONAL OR HEALTH C�1HE :ACILITIES <br /> OE APPFOVED BY THE STATE OF WASHINGTON. APPLICANTS WITM SUCf{ JOBS MUST SHOW TME STATE APPP.OVED PLA"IS �EfORE A <br /> CITY OF EVERETi PERMIT WILL BE ISSIIEO. . <br /> NOTE: WIRINC IN 170N•�HELLINLS IS REOUIPED TO �E IN CONDUIT. <br /> I HEREB'f CERTIFY THAT I HAVE READ AND' E%AMINED THIS <br /> APPIICATION ANO KNO'11 THE SAME TO BE TRl1E AND CORRECL ALL <br /> PROVISIGNS OF LAWS AND Ofl01NANCES GOVERNING iH15 TYPE OF <br /> WpRN WILL BE COMPLEfE�WITH WHETHER SPECIFIED HEREIN OF <br /> NOL THF GPANTING OF A PERMIT�OES NOT PRESUTAE TO GIVE <br /> AUTHOFITV TO VIOWTE Ofl CANCEL THE PROVISIONS OF ANV <br /> OTHER 57ATE OH LOCAL LAW REGUTAP.NG LONSTRl1CTICN CR THE � <br /> PEFFORMANCE Of CONSTflUCTION.THAT I AM AUiHOFIZED BY THE r"/�C� v� <br /> OwNEfl OF THIS PROPERTY TO PERFORM THE V+ORK FOF YIHICH fE'e / <br /> AFPLICATION IS MAOE AND I COh7PLY WITH THE STATE <br /> CONTPACTOflS LAY!18.27 flGW ANO 256200 WAC. <br /> x ' � ,,✓ �u 3/,���; <br /> SignaWre . Oate �� <br /> � �,4; <br /> .:-.._ .�. <br /> � �i <br />