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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> WILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, MA 98207 <br /> 259-6610 <br /> Y hone <br /> Owner a dress t tate p <br /> tty Cate p one <br /> Tenant at ddress <br /> 85i <br /> 'e t tate tp hone tate tcense o. <br /> ectr ca ontracfor ac ddress Y �d�_ Wocy-lwy:L <br /> ` 1S D <br /> roposed se o ut dtng <br /> ontract r ce o o� <br /> a�� � ��� � � <br /> ro ect ddress <br /> Z� v> msoa . � L <br /> Di scripts on of Work To Be Done: VJ � C <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL t 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 PEPNIT 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 PE 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 /> AAOWNER OF PPLIICATIIONISIS PROPERTY <br /> MADE ANDPI COMPLYFORM WITH ICT ERS ATE FEE <br /> CONTRACTORS LAW 1 B.27 RCW AND 296.200 WAC. <br /> .r- <br /> Da[e <br /> Signature <br /> (� � �63irk— <br /> \&Cc Cle . <br />