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07-11-2012 03:23pm From-ARONSON SEC RITY GROUP +2062856637 T-660 P.001/001 F-198 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> C90 13-r la s7 <br /> PROJECT ADDRESS <br /> sir tOIF-D, CTR_ CCcS�-1 AVE Eo4v2g� � s <br /> LOA 1.3 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mall Address City Stato/Zip Phone <br /> I6-05 WESI-LAKE va Aly, sTr-.62o X7t7q/ <br /> (zoi�Sou Scu P_ Cgcb p AW �G �Puw= WA %W? 2oro-�8y 3Sj 3 <br /> Electrical Contractor Mail Address City State/2€p Phone <br /> AP-o ssQ5_ 01 C Co -'j SC7 <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriptlon of Work to Se Done: I".:5rr,4I,C LOtu %JO L-r4 6Z 5_;=a e!cTy SY:f, /YL T <br /> -- UArDI" 12229 <br /> NOTE: WIRING IN NON-DWELLINGS IS RFQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 n <br /> I hereby cerllfy that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a perm7t does not, resume to give authority to <br /> violate or cancel the previsions of any other state or local law regulating construction or the <br /> performance of construction. That 1 am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contracfors Law 18.27 RCW and <br /> 29 . oa WAAC. <br /> Signature Date <br /> F/�7F <br /> 206- zS5'� L4,3-7 <br /> Q{� Coro- 4142-oO,4 ( <br /> 0n4%L_ i'Auc-N@ fit Rbp5c)PSMQ Pcl T' . CO/y <br />