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r.. c . ..u.. � ... _ eo, � u�.v� . � �o oa ��.. �� �nnn+oomna r�o.., o�„�..��, ::r,�o���. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9t3201 <br /> �25-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> / _ a � "i� <br /> c� �r� � --��y <br /> 1904 BROADWAY (�py3�q3g3D3ooa ) <br /> PROJECT ADDRESS <br /> BUDGETAPPLIANCESERVICE 1904 BROADWAY EVFRETT 98221 4252527776 <br /> Ownef Mail Address CAy SlalelZip Phone <br /> 11 11 <br /> Tzndnl blailAddress Cdy Stale/Z�p Phone <br /> ADT LLC � 1824 NORTHCRE[K PKWY N gOTHELL, WA 98201 Z06-774-9499 <br /> ElectricalContractor �dailAddress cdy sta�e2�p Pn��� . <br /> ADTLLL*881 DO � 200 <br /> State License Number Contrect Price of Work <br /> CommerCial jennifer@nwpermit.com <br /> Proposed Use of Bwldmg Contact Person (Plan Review) <br /> Square Footage(II residenlial newconstructlon, remodel or addRion) <br /> 1 control/ 1 devices <br /> Number of dewces Qf low voltage) <br /> ��5«�Pt�o� a�Wo�k�oa�oo�e: REPLACE MOTION DETECTORS/WIRE. <br /> FE[ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� J0� <br /> 1 ho.oby cv�dy fhnf 1 hnvo read and examrned fhis oppl�calion and Fnow fhc smna fo 6o Iruo and `/ .— <br /> conect nn J>ro�rs�o�,z or iaws ond ortlmnncr,s goveming tfns tyPe o!work will Ao r.ompleled ---- <br /> whofhxr spocdied hoiein ontot. The gruNinp o/a pmmil does nol prrasurno fo 9ivv aufhmity to PfRMI TJt <br /> vinla(c or canr.el fbo provrsions ol any ofhor stafe orlocnl law regul,drny conslror.fion or Ih� ' I <br /> prrlonnmia�ol cansfruclion. Thaf!urn.�u(hurizud 6y!he uwner a1(hir:pmperly fu peilurnr Ihu E I I.��O I - �� <br /> wo�k lorwhich applir,ntion is mndv nnd 1 tonrply willr fhc Sfafc Conlrac�ors Law iQ.27 RGW and _ <br /> 296?00 WAC. <br /> a,�.,y..���....•,.,<.�, <br /> .lennifer Covello ���:��"'�"'��""„'..".` 01 /14/2014 <br /> Av>vL,'� ly:. <br /> Signalurc -- Dale --'—�------ <br /> i:t..r:ti�J:,r) <br />