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.� <br />APPLICAT�vtV FOR ELECTRICAL rERMIT <br />� <br />� <br />i <br />C;TY OF EVERE:T <br />BUILDINC DIVISION <br />3200 CmAR STREET <br />EVtTtE7i, MA 98201 <br />����� FTre S�Atfo� �l <br />Cuntract �nce o or�Y Y Proposed Use o uilding <br />� 7� /—/(o -��i S� <br />�ject ddress .. <br />Discription of Work To Be Done: <br />.r/ <br />S/�S�L�TO f�l � S <br />NOTE: WAC 236-46-140 REQUIRES THAT PLANS FCR ELECTRICAL WORK AT EDUCATIONAL, INSTITtiTiONAL OR HEALTH �.::hRE FACILIliES <br />BE APPROVED BY THE STATE OF WASHINCTON. APPLICANTS WITH SUCH JOBS MUST SHJW THE STATE APPROVED FL.4NS BEFONE A <br />,C;TY OF EVERETT PERMIT WILL BE ISSUED. . <br />NOTE: WIRING IN NON-DWELLINCS IS REQUIRED TO BE IN CONDUIT. <br />I HERFBY CERTIFY THAT I HAVE REAO hND' EXAMINED THIS <br />APPUCAIION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPIETED WITH WNETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOIATE Ofi CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI lAW REGULATING CONSTRUCTIdN OF THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFILeD BY THE <br />OWNER OF THIS PFiOPER7Y TO PEFFORM THE WORK FOFi Vv:41CH <br />APPLICATION IS MADE ANO I COMPLY WITH THE STATc <br />CONTAACTORS LAW 1827 RCW AND 296.200 WAC. <br />X <br />Signature Date <br />FEE C � _ <br />