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01-19-2010 09:4iam From-ARONSON SECURIiY GROUP +206 285 6647 T-317 P 001/001 F-197 <br /> ELECTRICAL PERMIT APPLICATION � <br /> ' CITY OF EVERET7' PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �,� �C�_�p <br /> 425-257-8810 - FAX A25-257-8857—www.eyerettwa.org <br /> . ��D��,�� <br /> AAPLICA710N5 ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> _ �t � c� P,����� � � � <br /> PROJEC7 ADDRESS <br /> �ov�o�r.+ce M�rnu��C'm ��f�u 38R673 5�� l.�A q81� �, `i2S- zw -�rr3 <br /> OWner MailAtltlress Ciy � Stale2ip Phone <br /> S�A[ <br /> Tenant MallAddr�ss � , CIy State2ip Phone <br /> ISOS u%ES��.AKt AVC-. IU� STF.$20 X70�// <br /> �Ror.��.,�Ec�P��y Gras�w �l� ` �-az�-� .�A Rgl.o4 �06 �ar sss3 <br /> Electrical ConVactor Mall Adoress City , S�aie2fp Phone <br /> �O/���2_3C C� �'�$O, 00 <br /> Stato Liconso IJumber ConUacl Pricv of 1Nork <br /> Propnsed Use ot Uuilding • Contact Person (Plan Review) <br /> � <br /> Doscriptlon of Work to Be Dono: .luh��� LOvr V Oc,ri4C F S GJQ�-ty rjyg7'CM i N <br /> �Ac�r-�� Chmnvs PNAp�n,�c_y - SEl� - I O�q�_, <br /> NOTF: WIRING IN NON-DW[LLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS. MC OR AC GADLE. <br /> CITY OF[VERL"77 LOCAL SAL85 TAX CODG IS 3105 <br /> 1 horeby certily fhat I have read and examined this ap�lrcation and know the same to be true and �I p� 1 _���A <br /> carecC All provisions n!laws and ordinsnces yoveming this typr, cI Kvrk will be comple(ed v� <br /> �vhc;her specilied herein or noL The qranfrnp o/a permrt does nef resume to give aulhorrty fo <br /> viofate er r.anceJ the provisions of any olher stafo or locallaw reguPting construction or ihe ' <br /> perlermance o!cons[�uc(lon. Thaf!am authorized by tha owner ol thlsProperty to perform!he <br /> �vork fer which applicatlon!s made snd I comply with fho Stafe Contrac�ors Ca�.1Q.27 RCW and <br /> 29 0�. <br /> h/-"�-- � �� �6 ' � C� <br /> Signatum pate � —'-' � <br />