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02/07/2006 09:12 360659�978 NORTh�RN 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 - F,v(425-257-8857—www.everettwa,org <br /> APPL�CAT�ON9 ARE ACCEPTED FROM 8 AM 70 4 PM <br /> 7// 7 nc..s �r �r' ��� <br /> PROJECT ADDRESS '�T <br /> 5-�zv�. �a.,��� v�r�L <br /> Owner bkilAddress City SWtel2tP Phane <br /> Tenant Atall Addreee caty State2ip ahone <br /> �<.rh �tt ,Gf _iL.r�Gt�"t/(, <br /> ElechlcalConVactor Maiinddross Ciry Sute2io Phone <br /> Stata License Number Contract Prlce of Worfc <br /> Proposed Use of Buiiding Contacl Person (Plan Review) <br /> � / . <br /> Doscripllon Of Work to Be pone: (.�J/I�G �G W ��'�'�__ <br /> N07E: W IRING IN NON-DW ELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAflLE. <br /> CITY OF EVERETT LOCAL 3ALE5 TAX COOE IS 3105 <br /> 1 hem.6y certify fhaf 1 have read and examined this applicadon and knon•tho samo tc be;rue ar,d <br /> corroct. All provisions of/ews and ordlnances go�oming thfs type ol nb�ir will 6o complefe� <br /> whefher speci(ied herem or noL The grsptlnp O(a permd does nof prosuma to pive authorrty to ,`� <br /> violafa or tanC 1 the pro�dsions of any other sfafe orlocel!aw regulufmg conshuc[ion er tha � <br /> pedormanCe o�Cpns�rudion. Thot f am auUioiized by Ihe owner o/this pwpeiiy to pe�form fha <br /> wark lor which epplicetion is modo and!comply wHh fhe Stefe Confmctors Law i 6.27 RCW and � �L <br /> 296.200 t4'AC. �i ,_� <br /> ' 1 ' � Z(. <br /> .�_7 <br /> �..�/�/�P -� .2/7/oL � <br /> {� ��� <br /> S S�en�:u,e `�`TJ' eie N \ <br /> 1' <br /> l <br />