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09/17/20ui 09:00 3606598578 NORTHEP1 LIGHT ELECT PAGE 01 <br /> ELECTRICAL. PERMIT APPLICATION <br /> CITY OF EVrRETT PERMIT SERVICES <br /> 3200 CEDAR Sl REST, EVERE(T, WA 911201 <br /> 425-257-6810 - FAX 425-257-0057 - www.vvriatlwa.or9 <br /> APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM <br /> 9 10� S 4-: ,l o T <br /> PROJECT ADDRESS <br /> Owner Mall Address qty Slale/Lp Phone <br /> Tenant MAMldrmn ---- t=qty --- - --- Slaler/Jp Phase <br /> Electrical Contractor WailAddmas Cdy si,tm,;k lh,nc <br /> State License Number Comma trice or Wo x <br /> Propoand Use of Building Contact Person (Plan Review) <br /> Oesrnrn,,-n of Work to Be Done: L✓l�'L jbb S� N� j✓ L <br /> NOTE tNIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 0E IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heretry certify that I have road a d oxaminod this applleollan and know 1111)same to be tmn and <br /> ,vrre 1 AR p vtsims of taws nn nnflnam:es gvvenifnp this type of Huck will Lo cwiy:bred <br /> whefhat sped�ed horaht 4r not. re granting of a permR docs rrat pi�restane tv 0"outh"tty to <br /> vlofafa,)r cancel the pmvlslonS o/any ofhnr shite prlocal law mgu/aling eons.nrcUon ru-the <br /> performance of conshuclior. Thal t am oulhor(zed by Ula owra+r M tiVs prrtp.erly to pnrform Iho <br /> wore for which application!s mddo and I comply with the State Contractors Law 18.27 RCW and <br /> 296 20P WAC. <br /> Eon-060 <br /> i ' <br />