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APPLICATION FOR ELECTRICAL PERMIT <br /> > CITY OF EVERETT <br /> BUILDING DIVISION <br /> yy N 3200 CEDAR STREET <br /> H 3 OOT EVERETT, MA 96201 <br /> 259-8810 <br /> H 7J <br /> H11�[Y\ 1yu+e3tr��i SoOno • „� ..t I�zn 9 zcY. 4 a3-1 <br /> N H <br /> t7l1 :ner a reps ty State/Lip Phone <br /> y O —H — <br /> �nant a Address City State/Zip one <br /> WOE <br /> L]V n � i <br /> Z H �trJC T� drCA C � 2cY� 46k 5434 `t dG u Cc: 1 K <br /> y y ecca ontractor a ess It y <br /> tate/Zip ane 3Ca�eZ cense o. <br /> C Hy <br /> O <br /> 0 Cy[n ntract Price o ork repose Use o Building <br /> CMC <br /> '�3'r�C� — 7 �' S7' SLo <br /> Nr <br /> 5411groj tt- <br /> H O 14 o ect d resa <br /> scription of Work To Be Done: j�e .Jc E <br /> nc:l <br /> -OTE: WAC 296-46-140 REQUIRES THAT PLAITS 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 /> w� <br /> ;OTE.: 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 SPECInIED HLREIN 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 j, <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE '1( � <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE fI" <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 16.27 RCW AND 296,200 WAb. <br /> Sf nature Date <br />