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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 47T <br /> 3200 CEDAR STREET <br /> EVERETT, MA 98201 <br /> 259.8810 <br /> A,3�tdl� �4U�o3� i�� �zm \evtLo lxlA � (o -039 <br /> e reu trCl y�Fetel Zip—phone <br /> ------------------ <br /> ,rent a rw y e a P one <br /> $ -A3 t4rcW cI&DPK <br /> ect c ontrec or a reee y • , p ane e e cense o. <br /> rtrect r ce o►T or -Prop�Uee�Bu nq <br /> �LolO 59 u- St ST•� Ler 3J� <br /> ac n•e _ I <br /> Iecriptlon of Work To Be Oonet 1/ n, ] rezi'je I CYJ <br /> NOIEt WAC 296-46-140 REQUIRES MAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTDN. APPLICANTS WITH SUCH JOBS NUST SHOW 111E STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. ' <br /> NOTEt WIRING IN NON-OWELLINCS IS REOUIRED TO JE IN CONDUIT. <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TOES TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PRESUMF TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE U <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE W e• <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS <br /> 2�LAW Hill RCJW�/LAND <br /> 22299J6� //.20�0/WAG. <br /> /I ,�j/.( <br /> 41 <br /> Signature Date <br /> �I� <br />