Laserfiche WebLink
� � <br /> ELECTRICAL PERMIT APPLI�ATION <br /> CITI( OF EVERETT' PERMIT SERVICES <br /> 3200 GEDAR STREET, EVERETT, WA98201 6—/�`�3 <br /> 425-257-88�10 - FAX 425-257-8857–www.everetlwa.org C � 3� b� S' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 11225 19th Ave SE B1 <br /> PROJECTADDRESS <br /> Artisian Apts 11225 19t1i Ave SE B1 Everett WA, 98208 4253383434 <br /> OwnB� MOiI Ad�'rp�s Ciry SWte/Zip Phone <br /> Tenant MailAddre� Qy StatdZip Phone <br /> ADT LLC >>8z4NORTHCREEKPKWYN gOTHELL, WA98011 206-77 :-9499 <br /> Eiectncal Contractor Mail Adtlress Gry State/Z�p Phone <br /> ADTLLL*881 DO $99.00 <br /> Stale License Flumber Contract Pnte of Work <br /> Commercial jennifer@nwpermit.com <br /> Proposed Use of Builtlmg Contact Person (Plan Review) <br /> Description ol Work to Be Dor�e� <br /> Add device to existing low voltage secunty systern <br /> �107E WIRIMG IN �ION-OWELLINGS IS R[OUIP,ED TO F[[ <br /> f3F IN RACEWAYS, MC OR AC CAC3LE. �O� <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> !he�eby cenAy fhat I have�ead and examinea this appbcation and .4now fhe same�o ne tiue antl � I�j(�� —�7� <br /> :area. AO provisinns ollaws and ordmances govermng Ihis rype o/work wdl be completed <br /> vihether specdieU herein or noL The grantrng oI a pemid does not piesume to givc auti�crdy to <br /> vn,�ate or cancel fhe p�ovisions ol any olher sta(e or locallaw regulahng construct�on or the <br /> pcvlormance ol construcf�on That I am au(honzed by fhe owner of fh�s property to perlorm the <br /> wak for which applica6on is maUe anU I compty�v�th the Sfafe Conl�actors Law 18.27 RCW and <br /> 29C ?00 WAC. <br /> Jer,iifer Burgess .. , ,, ,,,,,o ,,�. - -����.� 06/10/2013 <br /> si9na�urr ua,e <br /> ___—_—_—___—._..-- _— I <br />