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� � � APPLICATION FOR ELECTRICAL I'ERMIT <br /> � 7c <br /> y CITY OF CVfNCTT <br /> IlUI1DING DIVISION <br /> � � 1200 CmAR SiRFEI <br /> � '� � r EVERETT� MA 98101 <br /> N M - <br /> � � � 259-8810 / / <br /> � � �� � /� T' � � /l �/ � el(�S /t �C�nsiiic+ ;K�c/ � otYr77�%�� <br /> � i //In / IG! /J Ji � -{ �' � ��� State/np <br /> � ���� Ma�l Adareas <br /> M` <br /> N � /� / <br /> ✓I�E r !�C � �a l i1�,,r' /<�A l v: G/ � �Jd�. ..0�` <br /> � � �. /nn ` �� ' � / / <br /> �y �i � � � �' � ty teta ip hone <br /> � �N Tenant e ress . � <br /> y ` / �tI <br /> � 4C C �'� 1 ' (f�rr' tate p ane . tate cense FTo. --- <br /> � y lCtf Ca onCfaCCof dl �e53 �LY <br /> .o��ract r�ce o Work ---�� ropnsrd Us��fir Aing <br /> ro,7ect Jdress <br /> DiscripH�� o! Wark To Be Done: ----- <br /> I �� <br /> I, <br /> I �w <br /> �- _" <br /> NOTE: BECAPPROVED�BY THEUSTATETOFTWASfiNNGTON.ELAPPLICANTSOWITHTc�OUC�OB5NML5TI510WTTHE�'AATEaAPPFO%ED PLANSpOEFOREEA <br /> CITV OF EVERETi PERMIT WILL CE ISSUED. <br /> i �.�1 <br /> NOiE: ',.'IRING IN NON-DWELLINGS IS REOUINED TO BE IN CONDUII. <br /> � <br /> � HEREBV f.ERTIFV THAT I NAVE HEAO AND EXAMINED THIS <br /> ' APPLICATION AND KNOW THE SAME TO BE TFUE AND CORii[CT.ALL <br /> ���� PFOVISIONS OF UWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WpRK WILL BE COMPLETE�WITH WHETHER SPECIFIED HEfiF.IN ON <br /> AUOTHORITV�TOTVNOLAOTEAOR CANCELETHEO ROVIS ONS OF A'NV <br /> � I OTHER S1ATE OR LOCAL UW �EGULATItJf CON5T7UCTION OR THE <br /> .�I�I PERFORMANCE OF CONSTPUCTIQN.THAT I AM AUTHORIZED BY THE _ �,'� �/ <br /> AOPPLICA(IONISISpMADE AN PE CO PLV' WITOHKTH69 STATE FEE /�� • J <br /> CONTHAGTORS LAW 18.27 RC�N AND 296.200 WAC. <br /> � <br /> � � � ' � <br /> i <br /> X �Z��. ����e In.o�._ � .�� . 1 . ' / <br /> ___�__—'— . / <br /> OAC! <br /> Si aCure /' <br /> �, <br />