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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3003 W Casion Rd.bldg 45-231 <br /> PROJECT ADDRESS <br /> Boeing Aerospace Co 3003 W Casion Rd.bldg 45-231 EVERETT, WA <br /> Owner Mail Address City State/Zip Phone <br /> SAME AS SITE <br /> Tenant Mail Address City State/Zip Phone <br /> ADT 11824 NORTHCREEK PKWY N BOTHELL, WA 98011 206-774-9499 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> ADTSES103205 $3000.00 <br /> State License Number Contract Price of Work <br /> Commercial jennifer@nwpermit.com <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> Installation of a Low Voltage Fire Transmitter connected to an existing Fire Control installed by others <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE, <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS$105 <br /> l hereby certify that/have read and examined this application and know the same to be true and <br /> correct: All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to <br /> violate or cancel theprovisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of this property to perform the <br /> work for which application is made and l comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAG. <br /> Rai Jennifer Burgess Ung]dprio��q' 41uOtl�ONMkSIGYUML,. �klHvrl 02/22/2012 <br /> Signature Date <br />