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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200CEDAR STREET, EVERETT, WA98201 � Q�_1-� <br /> 425-257-8810 - FAX425-257-8857—v�nvteverettv✓a.org �� ' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM L��� b �_b� I <br /> 3202 Colby Ave, Ste D <br /> PROJECTADDRES5 <br /> Performance Home hledical 3202 Colby Ave, Ste D Everett WA, 98201 253•239•11b3 <br /> O��ier Man ACCress Ciry StaleJZ�o Phone <br /> Tenant Matl Address Qty S1atePip Fhone <br /> IYCOINT[GRATGDSC-GURI�YL�C 11824NORTHCREEKPKWYN gOTHELL, WA98011 206-774-9499 <br /> Ele[Incal ContraCtor M1"a�l AtlOress Qty Staterio Phone <br /> TYCOI IS88600 $1947 <br /> Stale L�cense IJumber Contrac[Pnce of Work <br /> Commercial jennifer@nwpermit.com <br /> Proposed Use ef Bw!dmg Contact Person (Plan RevieH9 <br /> Cexnption of Work to Be Done�. <br /> Install new burglar alarm system with 3 door contacts, 5 motion detectors, 1 keypad and 1 GS3070 <br /> cell backup. ONE CONTROL, TEN DEVICES <br /> Site contact: Janet Wallace at 253-239-1163 <br /> I IOTF �h9RING IN NON-DW[LLINGS IS REOUIRED i0 FEE <br /> F3E IN RACEWAYS, MC OR AC CAQLE. T� <br /> �v <br /> CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br /> f nereDy•ceAA}�thaf I have read and exammed(his appdw(ron and kno�v!he same to 6e bue antl �l�jQ� � D�� <br /> carect All provrsions ollaws and ordmances governmg fhrs fyAe o1 work wdl be completed <br /> whetner specA�eJ herem cr noL 7he granting ol a permrt does not�.resume to give au!norry to <br /> vro�ate or cancel the picv�swns ol any ofher stafe or iocal law regulahng consbuctron or the <br /> per-�o�mance o!consfruaron That/am aufhonzed by fhe owner o!tn�s prope�ty to perlorm the <br /> wcrN 7or whrch app�icahan rs matle and I compry wRn ihe Sta1e Con(racicrs Law 78.27 RCDV and I <br /> 296 200 WAC <br /> Jennifer Burgess , e�`����y�;- •� ��"" 0 5109/20 1 3 <br /> Signature ate <br />