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07/27/2007 10:5i 3606598578 NORTHERN LIGHT ELECT PAGE 01 <br />� , <br />ELL�CTRICAL PERMIT �PPL�CATtQN <br />CITY OF EVEI�ETT PERNtIY SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9820') <br />425�257-8&10 - FAX 425-257�8857 -� wvwv.everettwa.org <br />APPL.ICATIONS ARE ACG�PTED �'ROM 8 AM TO 4 PM <br />� � � T �� ,�Y <br />PI�OJ6C� ADDR�SS <br />r <br />�.-� J I? � <br />Owner Maif Addrosa C�ty ste4e2ip Pfione <br />Tenant <br />ElecYrlcal COnEractor <br />5tate License Number <br />Proposed Usa ofi Bullding <br />Description af Wark to Be pone: <br />Mail Address <br />:�" ,�� �. � <br />Mal! Address� <br />Cify <br />Clty <br />fi'�d� 8.✓�Y' <br />NO7E: WIRWG 1N NON-DWELLWGS IS R�QUIRED 70 <br />BE IN RACEWAYS, MC OR AC CAB�E. � <br />CI'tY OF EVERE7T LOCAL SALES TAX GODE IS 3705 <br />5tate/Zip <br />5tafe/Zip <br />ContraC# FriCe of Work <br />Contact Person (Plan Review) <br />/ hereb Certrfy thaf I have re&d �nd axamined thlS &ppllC&U'orl and know fhe ssm8 �0 bt� lrtle and <br />correc�AN provfstons oflaws and ord/nances goveming thls fype of work will be complefed <br />whethar speclfled herein or not. The graltf(ng af a perm�2 does nOt prosunre to give eufhorlfy to <br />vtolate or cance/ fhe provlslons of any other st�fe or lacs/ law regu(ating consfructlon Ot' fhe <br />perforinance of construcilotl. That 1 sm sufhorized by the owner of thls property to perform �he <br />work for whJch applleaflon is made and 1 compfy with ihe 5tate Contracfors Law 98.27' RCW and <br />296.200 WAC. <br />�' ♦ <br />��� <br />Phone <br />Phone <br />