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09/29/2005 21:02 3606598578 NORTHERN LIGHT 'eLECT PAGE 01 <br /> ` . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM -DEBIT&CREDR CARDS ARE NOT ACCHP7ED <br /> _ T//� �n:in �r L7r. <br /> PROJECT ADDRESS <br /> � s f�, �w,� ,�s��-1c <br /> Owner Mall Atlaress Clry . S�a[rJTJp Pncne <br /> Tenant Mail Addrsss Clry Srate/Lp Phxa <br /> i /�cr�7,nrn .0 ti�"t LL�tc �/'/c. �ihF <br /> Eleclncal Contrador Mail Atldress Clry Stat�Zp Phona <br /> State Ucense Number Contract Pdce oF Wor1c <br /> Proposed Use of Builtling Contact Person (Plan Review) <br /> DeSCdptlon of Wark to Be Done: ,f[.i'� �K M IO �p p �.✓Yi f „Od �L <br /> / � ��rn ,� t�✓tY��- <br /> / <br /> NOTE: WIRING IN NON-DWELLINGS IS FEDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERET7 LOCAL SALES TAX CODE IS 9105 <br /> 1 harebvi cerir(y thaf/have read and examined�is appllcatlon and know fhe same to be true end <br /> corlecC A!I provis�ons oflaws and ordmances go�emmg this type of work wdl be comploted <br /> whefhor specffled horein or noL The g�anting ol a permR does not presume to give euthonty t� <br /> vielele or cance/the provisions c(any other stafe or�ccaf law regulefing canstrudion er the <br /> peAormance o!cons(ruction. Thet 1 am euthonn•d 6y the ou�ner of this property fo peAorm J�e <br /> ,vonr/cr ivhich application Is made ana 1 compry wrth the Sta�e Contracfors�aw 78.27 RC W and <br /> �es 20o ivac. <br /> f � /as/o.� <br /> rOnatwa <br /> i! <br />