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11/20/2009 10:18 3606598578 NORTHERN LIGHT ELECT PAGE 01 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 90201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everoltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROJECT ADDRESS I <br /> Owner <br /> Mail Address City Slalerm Phone <br /> Tenanl Mail Address <br /> Clly Stethop Pliant <br /> /°.✓p r7'7 yr i � '�e6 r/L <br /> state/Zip Phono <br /> Electrical Contractor ll nddnss City <br /> Slats Licanse Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descrintion of Work to Be Done: r-t - . -Z YOo S� /r� f�G �✓ '' •Hurn-C, <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO WE — <br /> BE IN RACEWAYS.MC OR AC CARLE. <br /> I <br /> CITY OF EVERETT LOCAL SALES TAC CODE IS 3105 l;� <br /> ,hereby cailly din <br /> that I he%*reed and evnm,ncd this npplication and know the same to b frvp and L_ 1. <br /> correct. All provisions allows and ordinances 9,01101`111179 this type of work will ha Gnaw"ud <br /> whether specified herein or not. The granting of a pennd does not rmsume to Oi sufflorty to <br /> violate ur cancei the pprvyV((stons od arty ofiror stats pr Ieca!law rrgu�I eons p r the Cha <br /> performance o/oonstrUC(IIon. That I urn atnhorize by(flip owirnr of(his aproro <br /> work for which appilcatlon Is made and f comply wfth fire Shin Contmcfors Low 18.27 RC W and <br /> 296.200 LVAC. <br /> le��?'/ ���' <br /> nTve <br /> I <br />