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10/23/2009 08:56 3606598578 NORTHERN LIGHT ELECT PAGE 01 <br /> I <br /> ELECTRICAL. PERMIT APPLICATION II <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3100 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.OvOrettwo.org <br /> APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM — <br /> PROJECT ADDRESS <br /> ;'��� t Lt r O�e l !L Slnto2lp Phare <br /> Owner Mal Addraas City <br /> Tenant ll Mal Address <br /> City Slale2lp Phure <br /> c. <br /> Electrical Contractor COIAN Addre"° <br /> city Slale2lp Phone <br /> Slate Licence Number Contract Price of Work <br /> Proposed Use of Building Conrad Person (Plan Revlew) <br /> jc <br /> Descrtollon of Work to He Done: _ d 1 !/ <br /> NOTE. WIRING IN NON-DWELLINGS 13 REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODK IS 3105 r'1 <br /> I hereby celfiry,that I have read and oxominad this appllrantm and know the Saltie to W We end l/ 1 'T <br /> correct. Ad provisions of laws an dd ordlnanges povemiall this type e/nark 0.111Ito coaly olod <br /> nhelher Specified hervin gr not. Tho gnantm of a pomat does nott rovunre to plvC oulhonfy,to <br /> vtolete or concal the pprondonsg of a1 yofhor late or local law mijulafing construction or the <br /> per,'cT Ge u/cu istruclion. Ttrof 1 am authorized try tho ownor or Nils lttoperiy to poHerm(tie <br /> Iwork!or wh+ch application Is mdde and l comply with Ihd b'late Contmcrora Law 19.27 RCW end <br /> 296.200 WAC. <br /> I <br /> --- i velure t <br /> I <br />