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10-I6-2006 11:53am from-ARONSON SECURIIY GP.OUP <br />+206 284 7716 T-026 P.001/001 F-313 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />qo� � ,� P� � � ay <br />PROJECT ADDf2�SS <br />O�mer <br />Tonant <br />�d Ro� ���� 3 �nc <br />Mail Addrees G�Y <br />Mail Address GN <br />State2ip <br />State2ip <br />/a -/6 � 6 <br />C o6/D �/06 <br />Phone <br />Phono <br />/��oN�,.�S���,?y G�,� P o�k� ia�s� S��T tNA R��o4 ��-��-�5$3 <br />EIeCU'Ical Contractor ldail Address Ciry State2lp PRone <br />���%aSSG� o ��C Co <br />State Licenso Num�er ' - <br />Proposed Use of Buildinp • <br />��I �O <br />ConVact Price of Work <br />Contaet Person (Plan Review) <br />DescriptionofWorkto6eDone: .J.NSi�d.c �-O�t� UO(,TAl� vi0�� S���E«�.Auer- Q'r <br />� _�.. . _. . - ._ .., -> <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />y certify fhat 1 have read and �xamined this epplleation and know fhu same fo bc frue and <br />. All provislons o/faws and ordinances,qovemmg ihw fype ol work w;ll be comp/eted <br />r spoci(ied hcrein or noL The �ranling ol a permd does no7 presume to give authority to <br />orcancelthe p�ovisionsofanyothersfataor/ocsllawregulatingconsiructionorihe <br />�anr,c� o( consfrudion. R�at I am au0�onzed by fhe owner o(ihis property to podorm the <br />r which applrcation is msde and 1 compiy v.ith ihe Stale Cont2ctors Law 78.27 P,CW and <br />P��(�5E FAX PE�'rN iZ' TO <"ZOIa- ���1-7'1 (�> <br />FEE <br />�G�IO`(� <br />y <br />