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02/16/2006 08:35 3606598578 NORTHERN LIGHT ELECT PAGE 01 <br />E�ECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT P�RMIT SERVIC�ES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />5' � d S' �j � �(n U/ z�f 2-� <br />PROJECT ADDRE55 <br />Tenant <br />Eleclrical C'.onVactoi <br />State License Number <br />Proposed Use of t3uilding <br />Mall <br />Mai� Address <br />MailAddmss <br />Ciry <br />Gty <br />Ury <br />Descr(ptlon of Work fo Be Done: N�i 1^'Yi r��Ti�,./ /'�C�}v✓L. <br />NOTE: WIRING IN H4N-DWE�I.INGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AG CABLE. <br />CIN OF EVERETf IOCAL SALES TAX CODE IS 3105 <br />Slate/Zip <br />Stata2ip <br />SWtefLp <br />Ccnhact PriCe of WOrH <br />Contact Person (Plen Revlew) <br />I hereDy certi/y hat I ha�R reed end examfned this applicaUon end know fhe same to De true attd <br />correct. All provisions of laws and ord/nanCes qovom/np thls type of wCrk w1!! b9, complPtod <br />wheWer spedfied herein or noL The grenOng of n perm�t docs not p/esume to g�ve euthonn� to <br />vtolata or cancel lhe provisions o/ eny other state or loca! law iagu/ating cons6vction or the <br />pe�fomtance o/conslrucfi0n. Thot 1 om authonzed by the o�mer of this properfy to pedorm the <br />worK !or wqldl eppllcafron is mede and 1 comply with tho State Conf2cfors Law 18,27 RCLV ard <br />296.200 WAC. <br />/ �'�� 'Z' /� G� <br />�qna�ub � 4 �L�..t p� —_ <br />FEE <br />Ph�ne <br />Phono <br />P�one <br />