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3-Z,cab o'/c <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> ll CITY OF EVERETT <br /> DIVISION BUILDING DIVISION <br /> E \/ " 3200 CEDAR STREET <br /> 259-8810 <br /> EVERETT, MA 98201 <br /> ,, wood �44Lo3�1 S mood S� k 700 X11, up <br /> Lort 9y <br /> wne�� ai duress �[y tate p hone <br /> ��- <br /> -enant a_ ddress <br /> _ —TitYCounpi) tate �P hone <br /> (.J ( t gyne L � <br /> -,CC U is-I -,,tractor M.. duress nty�� at / �'�UEC�(/L"Od< <br /> P one tate ci ense o. <br /> Lj ew'! <br /> .ontract Price of Work rlvpu5uu use 01 uuiiFrn-g <br /> ,V53/ SCJ G7- <br /> 'roject Tddress - <br /> Jiscriptfon of Work To Be Done: —Zi6 <br /> NOTE: WAC 296-46-140 REQUIRES THAT "LANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR 14EALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE Or 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 TH9 <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 WAG. <br /> Signature Date <br />