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08/99/2007 07:57 3606598578 tJORTFERN LIGHT ELECT PAGE 02 <br /> l l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425-257-8870 - FNC 425-25T-8857 -www.everatlwa.uiy <br /> APPLICATIONS/�RE ACCEPTED FROM B AM TO 4 PM <br /> ...__-�----_. ------ - <br /> ''---•-.....__. __. . . . <br /> ��° % ��Y.✓ /a�c /.�7`.f <br /> PROJECT ADDRESS � <br /> �i�i.'[.�,i,i ..._1I'!I{.rw'�Y�1'�1'4'� . _ <br /> O�t'n6� � Mai►Addmaa Clry Sta1elZp Phone <br /> Tenant ldyn Addreas C;ty 9tete2�p Pha�a <br /> �L�O T/�S G/'rJ /� �5..�7T' .L.��C- �� l. <br /> Electrical Centrador ���� Mall Aatlress Cily Slata/Z;p Phone <br /> Sto(e Lfcense Number Contracl Pnce of Work <br /> Proposed Use of Bulltling �ontact Paroon (Plan Review) <br /> �escriptiun of lVork to Be �one. �/ �`Y /��t (�.� �ys j� < ��� O '�� �T <br /> NOTE: WIRINO IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, �dC oR AC CABLE. <br /> CITY OF EVERETT LOCAL SALE9 TAX CODE�$3105 <br /> I heieby certily lhat!ha�e reed end exemined fhls appficenon and hnow the same fo be true en0 <br /> conect. Af!pro�rsiens ol/m+•s and o�dinertces gOvemmy thls fype ol wp�k ml!lro conrplefCd �/;��_ � <br /> +vhefher specrlred herein or ncL 7ho granfing o�a permit dora nof pr93ume to give euthonty fo E v � <br /> violate or cenc 1 the Provisiens ol eny ofher state or locel faw�epulaBnp censfruc(lun ur fhe <br /> poAcrmence o�construcfion. That I am authonzed 6y fne owner o�tbls roperty fo perlurm the <br /> wo�k Por whlch appl,celion is made end I coiuply wifh tha Stefe ConfrocPra Law 18.Y7 HCW and <br /> zss.zoo w�.r,. <br /> =������—�' �/q/o 7 <br /> �SN�alww , i s `� <br /> � <br />