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10/01/2009 10:48 36065985/78 NORTHERN LIGHT ELECT PAGE 01 <br /> l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER M- , WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.overettwa,org <br /> APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM <br /> �(yr1 <br /> PROJECT ADDRESS <br /> eA <br /> StatdZia Phone <br /> Owner irlatl Nddtese Gly <br /> City StelelSp Phone <br /> Tenant � Kim Address <br /> Electrical Contractor Ant Addrxss l <br /> city Stalo2q Pnone <br /> Contract Price of Work <br /> Slate I-konco Number <br /> Proposed Use of Buil ng Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> NOTE: WIRING IN NON-DWELLINGS I3 RFQUIRED TO FEG <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODU 18 3105 <br /> 1 1 hera0y certify tttaf 1 have read and erarn nmi Uda oppllwllnn and know fho samn to De Uup And <br /> Correct p�cmod huraU�oar nvf.nTA�trnan^p rVf o m!n!�Joosy roti mw fn p,vci sWnieiilyd to <br /> v he <br /> 0 Pam <br /> v,olefo or cencol tho provlslona o/ony orhur slarr.or local Inw repo nNrryt�crvoVnrsfrucUon or ID'o�f <br /> worAk for which nppll roof oififs mad and 1 comply �I Ilio Scah C�rIG rrhrs L18 2%f7G�W and <br /> 200.200 WAC. <br /> " ' swnawre <br /> CtiI CCS <br />