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To: Permit Department Page 3 of 3 2016-02-12 18:18:08 (GMT) 18884000383 From: Deborah Shields <br />• • <br />ELECTRICAL PERM�T APPL�CAT#ON <br />CITY OF EVERETT PERIIIIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 o- FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />607 SE EVEREiT M,�LL W�Y STE A <br />PROJECT ADDRESS <br />r�.oeiNsor� ��oaG�ri�s � iNc� �_�.c ��f C�r �5��1�C� <br />OWner Mail Address City <br />vvA �ao�o <br />State/Zip Phone <br />EVERGREEN FOOD MART 500 SE EiiERETT NtALL WAY STE 8208, EVEPETT, iN� 98208 <br />Tenant <br />i��T �.LC <br />Electrical Contractor <br />Mail Address <br />City <br />StatelZip <br />11824 IVORTHCREEK�KWY#',()S B�T�IE�� �f'1 �5�� i <br />Mail Address City StatelZip <br />AD�LLL�881 �O <br />State License Number <br />commercia! <br />Proposed Use of Building <br />Description of Work to Be Done: <br />install new CCTV system <br />1 control; 5 devices <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Phone <br />20�-774-9499 <br />��o�.�o <br />Contract Price of Work <br />jea�nifer@nwpermit.com <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that l have read and examined fhis app(icatian and know the same to be true and <br />correct. A!l provisions of laws and ordrnances governrn� this type of wo�k wili be completed <br />whether specriied herern or not. The yranting of a perrn�t does not presume to give authonty to <br />vrolate or cancel fhe provrsions of any other state or loca/ Jaw ��gedating construction or the <br />perforrnance of consfructron. That l am authorized by the owner of this properfy to perforrn the <br />wo�ic for �n+hich application is made and ! comply wifh the State Conlractars Law 18.27 RCW and <br />296.2U0 WAC. <br />Digitii!y signed by Naida Kl�in <br />� � � � � � � � �', UN: cr,=Naida I<I �en, a-Nnrtnv✓rst ('er�7�ic <br />' Irie., au, em��il=n;aidai=�nwpermiC.r.om, <br />c=US' <br />Signature Lat2 2016.OZ1? 1(A�i��r7 os'DD' <br />FEE <br />`� �'� � �� <br />Phone <br />�� I ��Z' � �� <br />