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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—vnn�w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 160 Hewitt Ave <br /> PROJ CTADDRESS <br /> Bank Of America 1602 Hewitt Ave Everett WA, 98201 <br /> IOv.ner h:�d Address C�ry StalePiD Phone <br /> i nn�nj M11atl ACOr�SS OP� S�atCIZiD Pnone <br /> TvCov+TflGanT[us[cuNirv��C 1182-0NORTHCREEKPKWYN gOTHELL, WA 98011 206-77d-9499 <br /> [ie^,tncal Contractor hta�i AEeress Qry State2io Pha�e <br /> TYCOI IS88600 $2300.00 <br /> SLYe L�cense Number Contract Pnce of Wor�. <br /> ComnterCial jennifer@nwpermit.com <br /> Preposed Use of pudtlinq Contact PerSon (Plan Review) <br /> Oexnphon ot Worh to Be Done <br /> Addition ro ihe existing CCN system 3 CCN cameras <br /> ` + � 1Z � ` -05� <br /> tdOTE VVIRING IN NON-DWELLIIJGS IS REQUIP.FD TO FF[ <br /> _ 8� IN FACEWAYS, I�IC OF AC CABLE. � 1 � 1 � � '� <br /> � �J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> �nereby ceitdy that I have ieaU antl eramined lhrs app6cation and 6noo�the same fo be hue antl <br /> carect Au prov�s�ons oJla�vs and ordinanrns goveimr,g thrs ;ype ol�vork wrll�e cornpleted <br /> wi;eU�e�spe:iGeU nererrr or not rhe granting cl a permrt does not resume to orve au(nerr,y to <br /> �•ia.�te c�cance�rhe p�ovrsrons or an�-ou�e�sra:c cr ieca��aw reg��nnq ronsuuu�on cr rne <br /> pcv/Cnnanre ol conslruCron 71�at i am aufporized by tlte ovmer o� Inrs pioperfy�to F���erm fhe <br /> u��v!�!or «�n�ch apphcatron rs made and I comply�v�tn the S!ate Conhactors Laa� 79 2i RCt4�and <br /> 29G 20U INAC <br /> .._..........._. .. <br /> Jennifer Burgess ��.,:�,�;�'�-""�""'��� "'�"� 11/06/2012 <br /> S�gnature '..,...� a�e <br />