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09/17/2009 09:00 3606590570 NORTHERN LIGHT ELECT PAGE 02 <br /> 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425.257-8857—www.evcnetiwa.vrg <br /> APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM <br /> or <br /> PROJECT ADDRESS <br /> z C <br /> Owner Mall Address City 9tate/Z1p Plwns <br /> Tgnan{... Mall Addrnss City Studellrp Phoma <br /> Electricni Contractor ail Address CITY Slatef[lp p1mw <br /> Slate Li,:d:nse Number '— Contract Prico of work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> ' / � as f-� /✓cf t� /-!o�L <br /> DASfrq:l r:n Of Work 10 Be Done: ��Op✓`� !f G /� ✓,� _. _— <br /> NOTE WIRING IN NON-DWELLINGS 15 REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE_IS 3108 <br /> 1 neroUr :;Ady that I hove 0806 <br /> ed end eXaminod gds applkolion and know the same to be true and <br /> cordae: ?ll provisions u/laws sad oMlnarrces govrxning fhls typo.;l wOrfr wrlf be C'0/nple(ad <br /> d;h0llrc: SpeClflaQ lie' in Or not. 711e yranOng of a p0rmrt does trot prvnunre to glvv OutM,dfy fo <br /> wolafo Or canoe!the pro0slons of nny ofher$taro ur kx.•el law n!guleUrfg eonsWCGon w the <br /> perfomra C I of m IUCll3r0 That I am aW Imma ay the cesW of this reyxrrty to porforfrf the <br /> work l- r;rich appllcafion Is mrid0 and t comply N7fh tfln. State Contractors Law 18.27 RCW and <br /> 296.2:Jn lhAr,. <br /> .,.pdawro )oto <br /> � Eo�oq-o6 � <br />