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I <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3100 CEDAR STREET <br /> EVERETT, MA 98201 <br /> 259.6610 <br /> I�ni.rl-lt,tuu_)w \ I IIdUU ' wil qw? o7lYo'lnV�- �3aJ <br /> a Address ty tater p Phone <br /> enant Mail ress City State/Zip lone <br /> A //,) ��C (..JA (IN' ,2 rzc'ucCr&0Pl <br /> c ec i cal Contractor Ma4l A ress Cl ty tate p hone State cense No. <br /> .ontrect Pricelot Wor rropds�PT, oT k d ng <br /> Ve <br /> s�� �� 51 1 �, . <br /> rolect Address 1t <br /> )ascription of Wcrk To Be Done: 1 , +\np , Ct. <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICA14TS WITH SUCH JOBS MUST SHOW TILE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE 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 PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULAT114G CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE — -s <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br /> X� as sl. <br /> Signature Date <br /> (11/ <br />