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i <br /> ELECTRICAL PERMIT APPLICATION <br /> cITY OF EVERETT PERMIT SERVICEs 6 aa�+2 <br /> 3200 CEDAR STREET, EVERETT, WA�8201 " <br /> 425-257-8810 - FAX425-257-8857—w�n�v�.everettw'.org L��6��'Z <br /> APPLICATIONS ARE ACC.EPTED FROM 8 AM TO 4 PM <br /> 2615 W Casino Rd Suite 4B <br /> PROJECTA�DRESS <br /> Wmdsrend Iechnicnl Solutions Same as site Everett WA I 98208 425 329 2655 <br /> owner <br /> Mall Addrcss Ciry Stete/Zip Phone <br /> W�ecd T�ch So1 uii� _ — <br /> Tenant <br /> Mail AtlErc� Clry StatelZiF Fhone <br /> ADT SECURITY 11824 N CREEK PRKWY i1105 BOTHELL WA/98201 360 945 2787 <br /> Electn�al Contredor Meil Atldress <br /> q�y State2in Phone <br /> /�DTSES103205 $229.00 <br /> State License Flumber Contract Price of Work <br /> 639 Other Business Services NEC Jennifer Burgess - (206) 774-9499 <br /> Proposed Use of Bwlding Contact Person (Plan Review) <br /> Description ol WorF ic Re Done _ — <br /> Install low voltago .ocurity system <br /> IdOTE WIRING CJ NON-DWFILIIlGS IS REOUIRED TO FEE � <br /> I 6E IN RACEWAYS, MC OR AC CABLE. �/� <br /> "✓\/ <br /> CITY OF EVERETT LOCAL SALES TAR CODE IS 3106 (� <br /> I he�eDy certAy fnat I have reatl antl eeam�neJ fh�s epplication and hnow fhe seme to be t�ue end � I �v �— I �� <br /> carect. All provisrons ol/aws and adman�es govein;ng fhis type ol waF wdl De comp/eled <br /> �vhether specil�ed Aerem or not The grantirq d a pc�mrt does not presume to pNe auth�xrty ro <br /> vrolate a cancel the proviswns ol any othei stafe oi lacal law regu�ahng consVuclan a Ihe <br /> a��lamance ol construcfbn That I am au�ho�^etl by the owner ol fhrs property to per/orm the <br /> i��ph lor which applrcatan a matle and I compl� wifh the Stafe Con!iacrors Law 78 27 RCW and <br /> 296 1CO WAC , •) <br /> -�, : r-�-- 06/21/2012 <br /> igna ure a e <br />