Laserfiche WebLink
12/�2/2005 08:40 3E06598578 <br />.i <br />i <br />FlORTHERN LIGHT ELECT <br />� <br />ELECTf��CAL PERMIT �►PPLICATION <br />CI7Y O� EVERETT'P�RMI'� SERVlC�S <br />320C CEDAR STF2EET, �VERETT, WA 98201 <br />425-25T-8810 - FAX 425-257-8857 — vw.rov.everethva,org <br />PAGE 03 <br />APPLICATIONS ARE ACCEPiED fROM 8 AM 70 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEP7Ep <br />S7/� �� b,- v� 1�f_ a� <br />PROJECT A��RESS <br />owner <br />Tenant <br />=lechlcal Comractor <br />3tate Licenae Number <br />�ropased Use of Building <br />Pir- .s� <br />Mqll adrass <br />Mall Pddreae <br />� y� <br />Mail Addte:s <br />)escription of tNork to Be Dono: <br />JGTE: WIRING IN NON•DWELLINGS IS REaUIftED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />:1TY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />L'Ity <br />Clh� <br />City <br />stacvz;p <br />5latdZlp <br />SatelZip <br />Gontraa Price of Work <br />Contact Person (Plan Rzview) <br />hereby certify [hat 1 have read and examined this appficelion and know th,e ssna fo be Mie and <br />onecf. All provlsions oflaws and orclinances goveming fhis type o(work w!U be eompleted <br />ihether speafied herein or noL 7he granfing of a permd doas notp resume !o g'rve authonty� fo <br />iolate or cance! thn provisicna of sny ofher stafe or local law rogu/eting consLucflon orthe <br />er�amance o( con�7ructfon. That 1 am autltodzad by tha cwner of fhrs property to parfor,n the <br />�crk (o� wbich spp/ catlon !s made end f ccmply with ihe State Controctors Law 18.27 RCW and <br />9620D WAC. � <br />Fno�e <br />FMna <br />Phona <br />FEE � <br />� <br />`i <br />G-=0 �-l�- �iI <br />> <br />