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APPLICATION FOR ELECTRICAL PERMIT <br /> �j CITY OF EVERETT <br /> 4M7r <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, MA 98201 <br /> 259-8810 <br /> q'��„�� ,,u � ,� -ryyry �G-c��� E,,.F� ��•�. 1��'n,..�, t✓� g: vq- � 3 <br /> b—rrne' '� a dress t�Ci y Stat p Phone <br /> Tenant Mail Addre5s City State/Zip Phone <br /> �1Ctvec > LyatO w /5i� .✓ /'y K.c%+ ,,! L Bac-oyrs Secucs�lt/36D� <br /> Electr ca oa rector a ress Cfit'y to one tate cense o. <br /> .;-d0•� ding r or propose lm4. fi�Bz,�c <br /> x701 59!�!6 Sf 51,E tn�e. , GUT • <br /> ro ect Tress <br /> Discription of Work To Be Done: /ILnn...... <br /> 4 <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> P'_ APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> " 'TY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: I IG 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 pC� <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE _�Cj -� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> Stgnatu a Date <br />