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12/02/2005 08:40 36065985'B NORTHERN LIGHT ELcCT PAGE 01 <br />� '� <br />�LEGTRICAL PERMIT APPLICATION <br />CITY OF �VERETT P@RMtT`SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 9820? <br />425-257-8810 - '�' 425-257-8857—www.everetiwa.org <br />APPUCATIONS ARE ACCEPTEQ FROM b an TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />.S 7a�s"' g T� <br />PROJECT ADDRES9 <br />Owner <br />renant <br />°lectrical Contractor <br />3ta[e Licanse Num6er <br />'roposed Use of Building <br />)oecription of Work to Be Dane: <br />Y�r �.�1 ,1��" 3 % <br />Mail Addras <br />J07E: WIRING �N NON-DWELLINGS IS REQUIRED 70 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />SlatellJp <br />9tate2tp <br />ShatelZlp <br />CoMract Ptiw ot Work <br />Contau Person (Plan ROview) <br />:1TY OF EVER�Ti LOCAL SA�ES TAX CODE IS 31D5 <br />hereby ceKity thet 1 have reed and examined th/s appllcallon and know the same to De Vue end <br />onect All provisions ot laws end o�dlnances goveming ;his rype of work wql be compieted <br />�hather speci�ed herein o� not 7he grenling of a po�md does not presume ro give authority M <br />'iolate or r,ar,cef the provisions o( eny other stete orfoca/ lew regulaUng consfructl0n or the <br />�edo�mance of construction. rhat 1 am authodzad Oy the owtler ct this property to perrorcn Ihe <br />ro�k for which application is mede and l comply wifh Ne State Ccntraclors Law 18.27 RCW and <br />96.200 IVAC. <br />I FEE <br />Cd : �/� '/,3 <br />Phcne <br />PAo�e <br />