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OB/21/2008 09:04 3606598578 NORTHERN LIGHT ELECT PAGE 02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7REET, EVERETT, WA 9�201 <br />425-257-6810 - FAX 425•257-8857 — www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br />l S�a r��-�.�b ,--<.� <br />PROJECT ADDRE55 <br />Owner <br />Tenant <br />' i�✓o/'t%itr <br />Electrical Contractor <br />Malf <br />�dall qddresn <br />Mail qddms^. <br />i <br />C-i <br />Gry <br />City <br />—rt. �r, <br />ary <br />State License Number —` <br />Pro�w�ed Ue¢ of Buildinfl <br />Descriplion of Work �o Oe Done: _�m b „/J�ati.i Y� �d�.` <br />—'_'d � <br />NOTE WIRItdG ItJ NON-DWELLINGS IS REQUIRED TO <br />�C IN RACEWAYS, MC OR AC CABLE. <br />StatclZlp <br />sra�erz;P <br />s�aie2�p <br />Conlracl Price of Work <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 horoby certi(y Ihaf 1 hove r�od and examined this appllcat/on and know the snma fn bo Wo and <br />corrucl. All provisions o/laws nnd adinartces goveminp fhis typa of wo�h wll! be corttp/eted <br />whether spaclftod hcrein or nut The g�tl�tlnp of a pormrt Ooes notp resume to glve authorlty ro <br />viora�e or cance! the provisions ol any othor stale er locef law mpufatlnp consfruclion or tho <br />peAvmiance ol constructfon. That I am euthonzed by Ihe o�saier of thrs �mparfy to psAorm the <br />wnrkWr which app,ication is mado and I cornply i,i}h fho SYafe Conhac�ors Low 7t327 RCIY and <br />29G.200 N'AC. <br />� <br />Pyona <br />P�one <br />Phone <br />FEE ' <br />� c��J�S - I 11 <br />