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08/07/2006 09:30 3606590578 NORTHERN LIGHT ELECT PAGE 02 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-267-8957 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM <br /> PROJECTADDRESS yy <br /> agnv k)'� <br /> Owner Mail Addm*a City State/Zip Phone <br /> Tenant l / MaillAddms3 City Statc21p <br /> nPhone <br /> eo t !✓�" I t_ �? G <br /> Electrical Contractor tall Address City Stato2lp Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Parson (Plan Review) <br /> Description of Work to Be Done: / t% ID Na/✓Ti+— �T� <br /> NOTE: WIRING IN NON-DWELLINGS In REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE, <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> I hereby certlry that!have read and examined this eppllcetlon end know the same to be true and <br /> correct. An pprovisions ol/ews end ordlnences ovemin this ppe o/work will he completed <br /> wh0ther apaclBetl herein or not. The prentlnp Sl a perm doeltotpresume to plus autnonty fo <br /> violate or cancel the pprovisions el anY other slefo orlocal law regulating consfructlon orffte <br /> perlomtance o/constnrCNon. That 1 am authodtatl by rhe owner of this roparty to pedorm the <br /> WE lar which application Is made and I comply witn the State Contractors Law 18.27 RC W and <br /> 280.200 WAC. <br /> V-7 1,2Z <br /> �Onetur D e <br /> Eo�o� - 031 <br />