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09/25/2009 09:00 3606598578 NORTHERN LIGHT ELECT PAGE 01 <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, FVEREJ 1, VVA 91f201 <br /> 425-257-01110 - FAX 4^S 'S7-8857 vrnw.evereUwo.orn <br /> i <br /> APPLICATIONS ARE ACCEPTED FROM A AM TO 4 I'M <br /> PROJECT ADDRESS c ) <br /> uh)4utn rimer {'iLj.. h /L <br /> Owner Map Address Gty 5tete/mp phone <br /> Tenon) .�j/.. Map Address City staierZip <br /> Electrical Contraelor 4Aa Address cityatstd2lp Phone <br /> Slate Lkonse Number Contract Price of Work <br /> Proposed Use of Duilding Contact Person (Plan Review) <br /> L✓ <br /> Descnpo,,n of Work to Be Done' <br /> / goo <br /> LAI <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 6E IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SAM TAX CODE IS 3105 <br /> 1 hereby certlh+that I have read and examintxl this epplJcaffton andZ <br /> e same to be fru end C� " �� <br /> correct. All provJslons of laws and ordlnsnau goveming fhla type wJll be corm+tefetl <br /> whether s 11 P d heroin or rroL The grendrrp o!a prxntd does notfogiveauthaifyfoVoletaorcancelherovlam$onr stareor local lawmgunstruc0fon or the <br /> paAomtanoo olconftrvcflat. That J am aW 04 a.1 y the own 0 0 roperfY foParforrT�nn the <br /> Werk(or which applkkafton Is mdde and I ply <br /> wliit the Stato�ontmclors Low 10.27 RGW and <br /> 206.200 IvAC <br /> � at <br /> S� naturo <br />