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06/21/2005 07:37 36065985'7B taORTHERN LIGHT ELECT PAGE 02 <br />� v <br />ELECTRICAL PERMIT APPLICATION <br />CI"iY OF EVERETT PERMI7 SERVICES 6.-ai�o S <br />3200 CEDAR STREET, EVERETT, WA 98201 �� Sp�j�� ZZ <br />425-257-8810 - FAX 425•257-8857 — www.everetlwa org <br />APPLICATIONS ARE ACCEPTGD FROM 8 AM TO 4 PM - DEBR 8 CREDIT CARD3 ARE NOT ACCEPTED <br />/ 6.7 � J.��v�cr�N %��vy.e � <br />PROJECT ADDRESS <br />7enent <br />ElecMcat Cantrador <br />State �cenu Numb�r <br />Proposed Uee o( ullalnp <br />Descrlptlon ol Work to Be oone: <br />Mail Address <br />. <br />Addrn� <br />Gry <br />qb <br />C�ry <br />SlauZp <br />St�ta/LD <br />Stete/Zp <br />Contre�t Price ol Work <br />Contect Psraon (Plen Rev�ew) <br />rnone <br />Pnono <br />rnone <br />NOTE. WIRING IN NON-DWELLINGS IS REQUIREDTO � � <br />�H IN RACEWAYS, MC Oli AC CABIE. <br />CITY OF EVERETT LOCAL SALES TAJ( CO�E IS 5105 <br />1 h�nby cartdy thaf r havr mad an0 oxaminod fltrs LpFr��puon enU know tha seme fo Oe We end <br />COrreCt. All p�ovivoaS of lews anQ ordinences OoveminQ fh�s type oI work will be enmpleted <br />wnether speclfietl nore�n or not. !ha gfHnfing C1 e pe�mif ooes 'lolp 185ume to Q�ve aUfhoRfy t0 <br />vi01Efe or canceI the prcvisions ol any other stafe or local iaw repulefing c�n5tnidlo� or the <br />per�amance o7 rOI151�11Cf1017 rhet I em euthonzed by the oHner ol ib�s pro0erty fo perform the <br />work (er which applicaGnn �s made and 1 cromph �nth the S7ate Contredor5 Lew 18.17 RC41' on7 <br />296 ?00 14AC. <br />I' <br />! j , -> <br />i. �i <br />[ i . � <br />