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12/02/20�5 08:40 3606598578 NORTHERN LIGHT ELECT PAGE 02 <br />r . <br />ELECTRICAL P�RMIT APPLICATIOR! <br />Ci i Y pF EVERET'1` PE'RM1T SERVICES <br />3200 CEDAF2 STREET, EVERETT, WA 9820 i <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APP�ICATIONS ARE ACCEPTE� FRpM 8 AM TO 4 PM - DEBI7' & CREDI7 CARQS ARE NOT ACCEP7E� <br />�� a �f �� ,�l r l.�% Jr,`�' ,� Z <br />PROJECT ADDRESS <br />�� <br />Owner <br />Tenant <br />I_Uo �"/ 1 C rn „�� <br />°ledrical Convactor <br />�tato License Numbar <br />Mall Addmss <br />Mall Addreu <br />'roposed Use of Building � <br />)ascription of Wor1c to Be DOne: <br />JOTE: WIRING IN NON-DWELL�NGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC GABLE. <br />:1TY OF EVERETT LOCAI, SALES TAX COOE IS 3705 <br />hernby cenify [ha1 / have reed <br />onact At/ provis;ons ollaws a <br />�her,yer spec�fied herain or nof. <br />iolate Or cancel tha provisiona <br />EI(O/Ti13liCB Of CORStNLiIOq. T� <br />�o,k Jor �vhich applicatlon is me <br />96.200 WAC. <br />Clly <br />City <br />City <br />State/�p <br />Stete2lp <br />StacelZlp <br />Contrect PnCe of Work <br />ContacE Person (Plan Revietv) <br />fhrs apolicatlon and know the same (o be We and <br />gaveming lhls type otwork tvlll be comp/efed <br />of a permd does notprosume to give authorfty to <br />�to oNocal faw r�yufbfing construction oi the <br />Phon? <br />Phane <br />Phorre <br />�FErE � <br />f <br />I <br />�,/ C�S� Z-��I <br />� <br />