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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PEFtMIT S�RVICES <br /> 3200 CEDAR STREET, EVF.RETT, UVA °8201 3�� g��3 <br /> 425-2�7-8810 - FAX 425-257-6857—vnnnr�.everettwa.org ���3 _�� Z <br /> APPLICATIONS ARE ACC�=PTED FROM 8 AM TO 4 PM <br /> 11225 19th Ave SE <br /> PROJECTADDRESS <br /> Artesia By the Lake 11225 19th Ave SE Everett, WA 9b208 4253383434 <br /> Owner Mail Address Ciry Slate/Zio Phone <br /> Tenant Mail Address City State/Zip Phone <br /> ADT LLC 1?824 NORTHCR[C-K PkWY N BOTHELL, WA 98011 206-%74-9499 <br /> Electrical Contractor Mail Address Ciry StatelLip Phone <br /> ADTLLL*881 DO $600.00 _ <br /> State License IJumber Contact Price of Work <br /> Commercial iennifer@nwpermit.com <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriptic�i of Workto Be Done� <br /> Instali low voilage securily system with one control and four devices. <br /> �JGTE WIRIf`1G IN NON-DWELLINGS IS REQUIREC TO F[E <br /> BE IN RACEWAYS, hdC OR AC CABLE. - <br /> �� �l ('(, <br /> CITY OF EVERETT LOCAL SALES`AX CODE i5 3105 <br /> I he�eby certity(hat I have read an�. examined this application and know the same to be true and 7, �,•� <br /> ca�rect All provisions o//atvs arG ordinance�governmg this rype of work will be completed C/ � l(- .J - � � �� <br /> �vhefhe:specilied herein or nor The granting ol a permrt dces not presume!o gNe au(horrty to <br /> ��iolate er cancel the provisiors ol any other state or localla�v regulating consi�uction or the <br /> p�lovmance ol consvuction. That I am authorized by.he o�vner of th�s propeiry to perform the <br /> �vak fnr�vhich applicaUon is made and 1 complv�vith (he State Contractors La�v i827 RCW and <br /> 290 200 :4'AC. <br /> JenniferBurgess �.. , , , , , �� � "�""" 03/15/2013 <br /> Signature ate <br />