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_ � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 s —IU �-13 <br /> 425-257-8810 - FAX425-257-8857–wv��w.everettwa.org C i3D5`� �� <br /> APPLICATIONS ARE ACCEPTED FRDM 8 AM TO 4 PM <br /> 11225 19th Ave SE <br /> PROJECTADDRE55 <br /> Artesia By The Lake 11225 19th Ave SE Everett WA, 98028 4253383434 <br /> Owner Mail Atldress City State/Zip Phonc <br /> Tendn� Madl�ddress Gry Sta�e/Zip Phone <br /> ADT LLC 11824 NORTHCRE[K PKVJY N gOTHELL, WA 98011 206-774-9499 <br /> EleCtrical Contractor Mail Address Qry State2ip Phone <br /> ADTLLL'"881 DO $4253383434 <br /> State License I�lumber CoNract Pnce of WorY. <br /> Commercial jennifer@nwpermit.com <br /> Proposetl Use of 8vilding Contact Person (Plan Review) <br /> Descnption ot Work to Be Done <br /> Inslall low voltage security system ON[ CONTROf_ AND NINE DEVICES <br /> f�IGT[ WIRI�IG I(J hlGi�-DWELLII�IGS IS R[OUIRED TO FEF <br /> BE IN RACE�N�YS, f11C OF: AC CAf3LE. <br /> CjD�DO <br /> CITY OF EVERETT LOCAL SAI.ES TAX CODE IS 3105 <br /> !herehy cerlr/y that I have iead and examined lhis applrcation antl kno�v the same fo be true and <br /> r,arect. All provisior,s o!laws and o��dinances governmg Ihis type o/wo�k wiq be completed �l 7,Q S_ O$( <br /> wlrether spewlieU herein or not The grantuig oI a pemtR does not iesumc lo give aulhor4y to 1 ✓ <br /> wola(e or cancel the prowsions ol any other sfafe or locallaw ie!�vPr,,,��o„sr.��r��„ o.rr,2 <br /> pcvlormancc ol can;Vudion. !ha(I dm authorized by!he owner o!th�s propc�ry to perform thr <br /> wak/or wlnch application rs made anU I comply with the 51a1e ConLaCto�S Law 1D 27 RCW Jntl <br /> 29G 200 W'AC <br /> JenniferBurgess �. ,,.r ,,,, , �•�. • ����� �° 05/14/2013 <br /> s���:,i���� o,i� <br />