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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVFRETT PERMIT SERVICES <br /> 320D CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-6857—vnidw.everettwa.org I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1917 Broadway <br /> PROJECTADDRESS <br /> PLATT HUI JIE 1243 TERRACE Pl., CAMANOISLAND, WA 98282 <br /> owner <br /> Mail AEdress City State/:ip Phone <br /> Tobacco Hut 1917 Broadway EVERETT, WA 98203 425-493-5708 <br /> Tenant <br /> Mail Addrc� Gry StatelZip Phone <br /> ADT LLC 11824 NORTHCREEK PKWY N BOTHELL, WA 98201 206-774-9499 <br /> Elxtrical Contradot Mail Address Gry State2ip Phme <br /> ADTLL.L"881 DO $2�00.00 <br /> S�ate License IJumber Gontrect Price ot Work <br /> Commercial jennifer@nwpermit.com <br /> Proposetl Use of Building Contact Person (Plan Review) <br /> Cescription of�Vork to Be Cone: <br /> Inlrusion Alami and CCN Installation with one control and fifteen devices. <br /> f iOTE: WIRING W NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �G'� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerf/ly ihat 1 have read and exam/ned this application and hno�v fhe same to be Uue and (`� I Z(11� I � J <br /> carecl. All provisons ollaws and ortlinances governing this t�pe of ivork�vil!be ccmpleted �� f�\/ <br /> ivhetnei specdied hereln or not The granting ol a permit dces not presume to gHe authoitty to <br /> violate or cancel the provisions ol any ofher sfate or/ocal law regulatmg consUuction or ihe <br /> pc�lormance o(construdion. Thaf I am authorized by the o�vner of this property to perlorm ihe <br /> ;sa-k tor which applicaLon is made and I comply wttb the State ConUaclors Law 1817 RCW and <br /> 296200 WAC. <br /> .,�.....,�,,..,.�.«;":, <br /> Jennifer Burgess . , ., „ , �•� "''""' <br /> �ignature a�e i <br />