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1�J/lu/201G 09: 35nM 4253538934 EVEP.GREEta SECUP,ITv PHG� Ef2/�2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 93201 <br /> 425-257-8810 - FAX 425-257-8857–Hnrnv.evereflwa.org /O —1 o��� <br /> ( <br /> c: �3�y��--a i <br /> 3102 Broadway <br /> PROJECTADDRESS <br /> Mill Town Credit Union 3102 Broadway Everett WA 98201 425•252-5139 <br /> OKmer M��IAdd�ess G�ly SIaM210 Phone <br /> -same as above- <br /> Tenant Meil Addn� Ciry State/Zip Phonc <br /> Everqresn Secunty 8115 BroadwaY#101 Everett WA 98203 425-348•3£i50 <br /> EleclfienlConlmdOf hlnilAddrvss Gry Stolo/Lp �'+one <br /> EV[RGSI112L2 S?603.99 _ <br /> Stnte Ucense Number Contract Pri:e of Work <br /> Commercial Sarah Murrav — <br /> Prnposed Use of�uildin0 COnWCt Persan (Plan Revicw) <br /> Square Foo'age(II rys�aential new construction,remOdel or addi6on) <br /> INum ti3 of devices pf lan�voltage) <br /> Iocs�;p�ion ot wo�cto ee oono: Add Motion Sensor to ATM, Install DVR 8 Power Supply (Low Voltage). <br /> FL-E <br /> CITY OF EVL'RETT LOCAI SALES TAX CODE IS 3105 I Li Q6 <br /> � 1 hemby ccrtity that I have road on0 examrned this opplicnn'un and know fhe snmo to Do truo and �/ <br /> � comxf. All provls�ons ol laws arM ortlinances govort�inp fhis typc o!„urk�vill be complolod <br /> tvhofhoi spoa6ed�erein or not The gron6ng of n pemilt does nof prosumo to gNo authority fo PERMI7k <br /> vlolate or cancel tho provisions ol any oN�er stem or locnl low regula0ng consfruetion or Uia 1I ! <br /> pcdormance o/ca�strucUon. Thaf!am authoneod by tho owner o/mis pmpe:rty fo peAorm fhe E �{ `T�� — �I � <br /> wvrk for v:hich applicu6on ia made ond I comply wltb fho Sfate Confraclors Law 1827 RCW 9nd <br /> 786.200 WAC. <br /> 1 O� lo� l`1 <br /> � ".7�_"_ <br /> Slgnxturo �'' Dntc � <br /> INE��SfD 17OY] <br />