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�3/29/2006 0E:08 3606598578 <br />NOP.THERN LIGHT ELECT <br />EL�CTRICAL PERIIrlT APPLICATION <br />CITY QF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8057 — www.everettwa.org <br />APPLICATIONS ARE ACCEP7Eb FROM e AM TO d PA7 <br />J)vg 5� nY� �.✓ Lo�fa9 <br />PROJECT ADDRESS <br />� <br />A��q., ;- ,��� �- a,--,�� <br />Owner R1ail Atltlress <br />Tenant <br />Electricdl Gontractor <br />Stata Llcense Number <br />Proposed Use of Building <br />Meil Addrcss <br />�`� <br />Mall Addtes5 <br />ary <br />Gry <br />G <br />City <br />s�ierz�o <br />su�erz�p <br />StatefLp <br />Convact Pdce ot Work <br />Desuiplion of Work to Be Done: �W ,tl�- -U i%�t �l`� '� <br />NOTE: WIRING IN NON•UWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC t;ABLE. <br />PAGE 01 <br />Contact Parson (Plan Review) <br />GITY OF EVC•RETT LOCAL SALES TAX CODE IS 3105 <br />I heroby certlly thet I heve reBd and examined fhis app�icatron and know the same to be true ond <br />correcL All pro�islons o/ /aws end ordinances goveming ihfs type ol work v�ill be completed <br />whether speclBed here/n or noL The grantina o! a permit Uoes notp resume fo give authonry fo <br />vlolafe or cancel the provisions etany other stdte orlocel law regulaGna conshuction or toe <br />performance of consWctfon. 7het I am authonzed by the o�mer ol �his property to pen'omi the <br />�.vork lor which applicetion is made snd I comply with tho Stafo Conhao(ors Law 1R.27 P.CW and <br />FEE <br />Phone <br />PhOne <br />Phone <br />C-oc�o3-lS� <br />