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�d/Et5/2��5 09:33 3E0659557fl NORTHERN LIGHT ELECT PAGE O1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STREET, EVERETT, WA 98201 /, `/_ _ O� <br />425-257-8810 - FAX 425•Z57-8B57 — www.evereltwa.org �f � <br />APPLICATIONS AR6 ACCEPTED FROM 8 AM TO 4 PM C O�'J D y��S <br />J�'%-� b��t�� �li/D ��ii,�.. <br />PROJECTAbDRESS� <br />� <br />G.�nor <br />?cnanl <br />.�_ vvI^T�t.r <br />Eleclrical ConlrocWr <br />h rM � <br />MaJ Mdros.y <br />Ak�ii /vMmss <br />Ct---�lY(-GS <br />M�II At1pf1•;., <br />StaW Liconso Numbcr --' <br />Pro{,aSeJ Usc of Hulldiug <br />C�c scri�ilinr� c.f Work lo [lo C�aric: ._. (/�� /�-.. v.�(� JU <br />N�:,TE WIIZING !i� NON-L�WLLLINGS IS RLC]UIRED TO <br />!3E IN P./�CEWAI'S, MC Otl AC CABLE <br />GITY OF CVER�Ti LOCqI SALL"5 TAX CODE IS 3105 <br />Gty <br />Ufj� <br />SL�INZip <br />Statv2ip <br />I'hvna <br />Phone <br />��r s�a«nip rna,e <br />Cordract Pnca of Worl; � <br />Conlact Porson (Flon Revicw) <br />Sl� % ` 7 /�� � //�'m � <br />� �,�.�eA�� a;rtily thaf 1le�w road und exanUiied llus oppllcauon and kr�uw th� snme to Gu Vu� enJ <br />c� ��ect All provisions �llaws nnJ nrUlndnces novom(ng Uils (ypo of waN will bo onmpleted <br />�.' othor speclpod hcruin ar rn�L Ih� �rnntfnU o( a perrnif does nol �mswno fo givo aufhalfy fa <br />� �cr��� �r canca( B�r. proNsicns o! aery otliw sfafa oi locol low royulatMp cnns6uc6'on or 1ho <br />po; ro�munca u/ cunsl�ucUun 7h;i! 1 arn authnqzell by fhn o�mEv ol fhis ��roperty tu Uerform fhe <br />ncrk io� whkh �3pphentiurr i.s made anU 1 a�mpty wrtb fhe Sinlu ConLar.fnrs Lnw iH.27 RCl4� and <br />�96 ZJJ tN'AC. <br />%�1=�'r�.•.f�._C_._�-�'-'cN G-1.�-- 7 � ��% <br />fi���,.,a„c Tr---`—"-Yia�6 <br />FEE • <br />r"'`"C/� I� ��V <br />