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C9-=?/?0�5 :1:�? 3606599578 NORTHERN LIGHT ELECT PaGE 02 <br />!- !" <br />I <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES q,.�0�,5 <br />3200 CEDAR STREET', EVERETT, WA 98201 � �s�g_ I�6 <br />425-257-8810 - FAX 425-257•8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARD9 ARE NOT ACCEP7ED <br />� 6 2 � I.�a✓ir�v %��v . �a� <br />PROJECT ADDRE55 <br />Owner <br />TenaM <br />� n� . � ' <br />Mail ress <br />Mail Paar�a <br />ElacnlCalCOn7Attor "MOilAddreea <br />State Uoenbe Number <br />Prapased Uee of Building <br />cm <br />Gry <br />Deacriptlon n/ Wark to Be Oane �! r�t- /1/��/ bfQ1�,<� <br />NOTE: WIRING IN NON•�WELLINGS IS REQUIRED TO <br />8c' IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETI LOCAL SALES TAX COOE IS 7105 <br />54taTip <br />S�p <br />SlateZic <br />Ccnvact Prlce of Work <br />Contact Pe�son (Plan Review) <br />I hereby cemly thaf ! have /Cad and exam�n6d this applicatlon antl know Ne selne to be hue and <br />conect. All pl0visions o(�ews anJ prdlnBnC95 govem�ny Mie type o/ �ro�k ���II be complated <br />whefhe� specdiod herem or nof Te pranUng ol e pormrt dcxs notp resume ro Olve eufhonry to <br />v�r,lnte n. carrcel the provrsions oI ony other atete or /orol lew repulahng canrtnrction ar Ibe <br />pcAormencu ol cansvucuon. 7 net / em euthonted by Me owner o/ thls propeRy lo peAorm !h• <br />work !or .vhlch applicatien �s metle and I comply wRh Me Sfefe Contncfur Law 18.27 RC W and <br />296.200 WAC. <br />� <br />FEE <br />� <br />. � , )� �� � ` l_"' <br />Ph00! <br />Phona <br />PNone <br />