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12/03/2007 11:46 3606598578 <br />NORTHERN LIGHT ELECT <br />� <br />EL.EG'1"RwC,AL P�R�tT APF'i.tCATIQ�v <br />G�TY C)F �i/ER�TT` PERIVI!'� SEIRV�GES <br />320� CEQAR STR�ET, EV�RE�, WA g�2Qq <br />4��-257-8$10 - FAX 425-257-8857 - www.everettwa,org <br />APPLIGATIONS AF2� ACCEP'TEb FROM 8 AM TO 4 pM <br />� � L � �� � <br />PROJECT ADDF�ESS <br />Owner <br />Tenant <br />� �f d J^ ��°' %^ <br />�1ecU�jCal C4ntractOt <br />State �.icense Num�er <br />Mail AQc��'ss <br />Matt,------_ <br />��� <br />Mail Addres$ <br />s <br />i'J.. <br />` Gq� <br />crty <br />�/""�' �,s �� <br />City <br />Proposed llse of Bu4lding <br />�,'�u '��-� <br />Z--�:��rsy' <br />Descriptlan of Work to BQ Don�; �,�%t y�� j�� C �� <br />Staie/�(D <br />Scat,e�z�p <br />Sbts2ip <br />Contraot Price of Work <br />Contact Pe�son (Plan Revtew) <br />./�✓�' �,J <br />PAGE 01 <br />Phane <br />Phane <br />Phons <br />vi; � C� r,�-, � J +�✓^�/a, '�{ <br />F: <br />NOTE: WIRlNG !N NON-DW�LLCNGS iS REQt31R�D TO <br />B� Itd RACEINAYS, MC �R AC CABL�_ <br />CiTY OF �VER�n' L�CAL SALES TAX COb� tS 3105 <br />I hareby ce�tify ittat I h&ve tlsad and �X�rrrined this ap�tlicafion and kno�tr the same fo be true anc! <br />com9ct. All prqvisions of l�ws end ordtnances goveming fhls type of work wrlt! be compteted <br />whefher spec�ed herein or not. The granting a� a perm�t does nof pr�surne ta glve authoriry to <br />NalaEe ar cance/ fhe rovrsions of �ny other sfate or loCai law regu(�fing consfrcrctfon or the <br />pertormence of cons�ructivn. 7'het /�rn aufho�tzed by the flwne� of this prop�rf� fo perfama tl�e <br />wark for whach applicafion is m�de aRd I compfy with fhe St�ts Confracfors E.a►v 18.27 RCW and <br />256,20� WqC. <br />FEE <br />�—�-` 7 � Z-"L�: �.. <br />