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10/�7/2005 09:56 3606598578 NORTFIE�J �IGHT ELECT PAGE 01 <br />ELECTRI�pL PERMIT APRLICATION <br />CITY OF EVERETT PERMIT SERVICES �o .:��v s <br />3200 CEDAR STREET, EVERETT, :NA 98201 L osy —o S 7 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTE� FROM 8 ANf TO 4 PM - DERIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />�� .e.�{,.- ., t3/�.0. �,�'-F-�-N <br />PROJECT ADDRESS <br />Owner <br />Tenenl <br />EIecM�l Conlractor <br />. <br />v v �T� <br />titaa a�reas <br />Mall Pddress <br />�,,��'—� <br />Mnd Addre�f <br />! Sh�te Licunso Number <br />Pro�sed Uae oi Bulldlnp <br />cny <br />dry <br />Clty <br />suremv <br />StllarLD <br />Statpldp <br />CoMrect Price of Work <br />Conbct Pason (Plan Revlew) <br />Desn, lptlon ol Wa�: to De Done. __ J�✓J /`Y� � �liLi1 h/o /�,� <br />NOTC: V�'IRING IN NON DWELlINGS IS f1EQUIRED TO <br />13C IN RACE`NAYS. MC OR �C CABLE. <br />cirr oP EVERE7"f LOC4L sn�85 TAX CODE IS 7105 <br />I hereDy ce4i/y thaf I heve restl nnd examined tAls eppbcatlun end know tbe <br />cortx7. All provisrans oflews and crtlinancas govoming th�t typo o/ woM w <br />whefhe� epec�ed herem or noG The prenfiny o/ e pertrid doea not nresume <br />v�olBte c� canc0/ the provi5ion5 0l eny olhor sf�fo o� local lew �pu�afing ton <br />peAormance ol conahuc6on. 7haf I am euthonred by the owner o/ fhls prop <br />waY �Or wMM ep0�M8fI0n �5 m�da and I comply wrth !ha Slata Canfrycfors 1 <br />29B 200 WAC. <br />0 <br />FE�------ <br />�� D <br />ime to e hU! qr,�5i, �� �� �1= <br />he co ebl/ <br />v�aon° rn Y�0 %005 <br />yrove n�lkid �� '1 ' <br />v f9.77 CW and <br />111�Y l)l' I�V'I�RI��f � <br />O�f <br />Pcrnu� >cn i:�:` <br />� <br />t'vSiO �V5 7 <br />Phone <br />Pnono <br />�� <br />