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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wwv✓.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> 205 E CASINO RD, SUITE B-8 I <br /> PROJECTADDRESS <br /> INJURY ADVOCATES 205 E CASINO RD, SUITE B-8 Everett, W/�1 98208 4252603654 <br /> Owner Mail Aadrcss Gy Stale/Zlp Phone <br /> Tenant MadAtldress G�y StetMZip Phone <br /> ADT LLC 11824 NORTHCREEK PKWY N BpTHELL, WA 98011 206-774-9499 <br /> Eledrical Contratlor Meil Address Qy State2ip Phme <br /> ADTLLL*881 DO $181 <br /> State License I lumber Contract Price ot Worh <br /> Commercial jennifer@nwpermit.com <br /> Proposed Use of Bwlding Contact Person (Plan Review) <br /> Description ol Workto Fie Done <br /> INTRUSION ALARM INSTALL WITH ONE CONTROL AND FIVE DEVIC[S <br /> I � � � � � ��� <br /> I IOl E WIRING IfJ �JOIJ-DWELLUdGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS MC OF AC CABLE. ��) �lt! <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS J105 <br /> I hereby certdy fhat 1 have iead and e�amincd this applrcafwn aad Firow the same lo be true and <br /> carect Ail provisions ol�aws and oitlmances govenung this type ol wah wtll De completed <br /> �vhefher specA�etl he�ern a not The g�an6ng ol a permrt tloes not presume ro give authalry•to <br /> vrolate a�cance/Ihe p�owmons o/any�other state a local la�v regulatirg constructron a the <br /> pn/amance o/consn uctron That I am aufharetl by the owner o/thls property to pedwm tne <br /> waF la wluch app6catrai is made and I compy wrth the Sfate ConUacfo�s Law 78 27 RCW antl <br /> 296 200 WAC <br /> JenniferBurgess . ,,, ,„-s - . � "�" 12/28/2012 � <br /> � <br /> . igna ure a e <br />