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12/02/20E5 08:10 3606598578 <br />� <br />NORTFERN LIGHT ELECT <br />ELECTRICAL PERMIT A�'PLICATION <br />CITY OF EVERE7'T PERMIT SERVICES <br />3200 CED�R STREET, EVERETT, WA 98201 <br />R25-257-8810 - FAX425-257-8857—www.evei:�ttwa.org <br />PAGE 66 <br />APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM - DEBIT 8 CREDIT CAFcDS ARE NOT ACCEPTED <br />�2s��....1�1sw a� <br />PROJECT ADDRESS <br />Ownar <br />Tenant <br />Electrical <br />State Licanse Number <br />Froposad Usa of 8u;lding <br />DescriDdon of Work to Be Done: <br />Mail Address <br />Mal! Adaress <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACE'WAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y certiF,� thaf 1 have reed and oxamineCWc appllcatloc <br />correci. All provlslons o/lews end ordinances g�rveming this <br />whether speciftetl heraln or not. The grant�ng cf a permif doe <br />v/o/ete or cenc 1 the provfslons of any other shh or locel /ew <br />performance o�consWct;on. rpat f am euthonzed by Pne ow� <br />wa,lc far wltich spplicafion is meda end 1 comply wrth the Sfeh <br />296.200 WAC. <br />aa <br />CItY <br />CiIY <br />smeeran <br />Stata/ZP <br />StetNZip <br />Cor,tract Price of Work <br />Contac[ Person (Plan Revlewj <br />to be true and <br />ompleted <br />� auBio,m to <br />an� <br />Phone <br />{�twne <br />Phone <br />�� <br />���1 Z-� 1 � <br />