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D x <br /> r IH <br /> 9HN <br /> HEM <br /> FC 0 <br /> H W <br /> xO <br /> UU APPLICATION FOR EI.ECTRICAL PERMIT <br /> 0O H CITY of EVERETT <br /> BUILDING DIVISION <br /> N t•1 O f., J 1 CEDAR STREET <br /> EVER <br /> 4a7T " J EVE7tETi, MA 90201 <br /> P H1 259-8810 <br /> H F3 <br /> 0M N — Mail Address City tati/zfp e <br /> [rl er <br /> O Tenant Mail Ad rest tyState/Li ne <br /> Electrical S , �/ � c as ��i✓Q ,�� `s "�� J 3 ti� /��:-�ss�.z'.s3�.� <br /> — on rectorno,.-7..s.aa ty arto p onebtate License No. <br /> 6fC•/'�� <br /> Contract price of Work '-Proposed use of Building <br /> ro ett Address ,Q,//Jl�� <br /> Description of Work To Be Danes // <br /> 1 <br /> U <br /> U <br /> �1 NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> EE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> I_ CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> �1 NOTE: WIRING IN NON-DWELLINGS IS REQ.IQED 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 7HIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> L 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 Or CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF T.113 PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 10..227 RCW AND 296.200 WAC. <br /> X <br /> Signature Date <br />