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/l <br /> APPLICATION FOR ELECTRICAL HERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISICH <br /> 3200 CEDAR STREET <br /> EVERETT, MA 98201 <br /> 259-8810 <br /> is /t:.�so• , /S" <br /> O"ner a rocs ty State Z� one <br /> J �s+r.9 1 =/ /� S i �c r.'rJ / r. S 05 —phone 7377 <br /> a dress ty tate/21p <br /> enant �yweLC�J"/iokA <br /> / ate p one tate cense o. <br /> ectr ea ontractor a cess Y <br /> 4c G zFua e/ o`•ung <br /> f f <br /> Contract r ce of Workropose e <br /> ro ect dress <br /> DS seription of Work To Be Done: /J ✓ °' h 7 <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS 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 PERMI-i 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 Or TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH IED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DO SENOT PRESUME TO GIVE <br /> AUTHOFITY 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 /> APPLICATION OF TIIS PROPERTY <br /> MADE ANDPI COMPLY WITFORM THE H WORKFOR WHICH <br /> STATE FEE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �L -.l.___ <br /> Z. <br /> Signature <br /> Oate <br /> 3P7 s7 <br />