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APPLICAI . JN FOR ELECTRICAL 'ERMIT <br /> CITY OF EVEPrTT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> 2ss-aero <br /> EVERETT, MA 98201 <br /> S� � <br /> iS -7ac <br /> Inner Mail Address <br /> ty State/lip one <br /> tenant Mail Address ty tate p one <br /> iD�oCo ISessS P/ .SGI,AA <lf�l� f S S1MA)E 4, 109 P1; <br /> ectr ca ontractor a FZ ty 5tate/iip5 tate L Fc-e-nse I o. <br /> _ontract rice o Wor - Proposed use oSr o�Uiltltng <br /> Gam_ <br /> roJect_Mdr <br /> )ascription of Work To Be Done: <br /> elf Scr- - l)fJ �'L��dI� C� V9C'c <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 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 REGULATING 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 <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. q <br /> Signature Date <br />