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APPLICATION FOR ELECTRICAL rERMIT <br /> CITY3200 OF AR STRT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> 4zur EVERETT, MA 98201 <br /> 259-8810 <br /> � 3- <br /> newif�„��`�� na, ddress tai y <br /> S'—tate/Zip one <br /> tenant Mail Addre5S City tate p Phone <br /> Q a/ YE /2/J � �/ ���' tate <br /> ce� -3Y �n0n8�J Scace C,ce�/-3f <br /> Electr 'son rector a cess qty <br /> 1001.Lr 11s t�- <br /> ontract r'cs a or propose se o u, d>.n <br /> .J(' /.) '504- V, .S iv <br /> ro ect dress Y <br /> Discription of Work To Be Done: �Fi'tL _�/�Ll L'-- J ' — <br /> / 7 <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. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS 8EFORE 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 REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE )F CONSTRUCTION. THAT I AM AUTHORIZED BY THE Gam. <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE ' <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X U _ `_ — 7� <br /> / <br /> Signat3 a Date j1d,)j 7 <br />