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ELECTRICAL I�ERMIT 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 6 AM TO 4 PM <br />6732 Beverly Bivd <br />PROJECT ADDRES.c, <br />Corner Groc <br />Owner <br />Tenant <br />same as project address EVERET'r 98203 <br />Mml Address <br />Mail Atltlress <br />City <br />Cily <br />ADT SECURITY SERVICE5 11824 N CREEK PKWv N#105 [�OTH ELL <br />Electncal Contractor Mall AddrP,s <br />ADTSES103205 <br />State License Number <br />COMMERCIAL <br />F'roposed Use of kiwltling <br />Descripnon ot Work to Be Done- <br />Cily <br />ADD ON TO EXISTING LOW VOLTAGE SECURITY SYSTEM <br />NOTE WIRING IN ^ION-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAI'S, MC OR AC CABLE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Stale2�� <br />State/Gp <br />WA 98011 <br />Stete2ip <br />� — I 4 —/0 <br />L-��oa6�o6z <br />425 347 5822 <br />Phone <br />Nnone <br />360-945-2787 <br />Phone <br />ADT SECURITY SERVICES <br />Contract Pnce of'Nork <br />C:ontaIX Person (F�lan F2evie� <br />l hereby cerLly that I have itad and e�amineU this applicafion and know the same to be frue and <br />co�rect. All prov�sions olla�vs and ad�nances govn�n�ng this type ol wak will be compleled <br />whether specNed here�n a� noL 'fhe grantinr. o! a peim�t dces not piesume lo give authonry to <br />v�olafe or cancel the provisions o/ an}� other ;tate w Ixal la�v regu/ating constru.,t�on u(he <br />peAonnance ul construct�un That / am aufhoii:ed by fhe u�vner d this property to perlormlhe <br />woih lor u�hich applrcaf�on �s n�de and I co npy �vMh the Slate ConFactors La�v 18 27 RCW and <br />200 200 IN�C <br />SignuNre Gatc <br />FEE <br />C" �O(1`�—���?�7 <br />