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153-981-9996 LInc1 11:24:05 12-17-2012 2/i <br /> 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY JF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 99201 ' � ` �2 <br /> 425-257-8810 - FAX 425-257-8857-www•everettwa.org � a � <br /> APPLICATIONB ARE ACCEPTED FROM 6 AM TO 4 PM [—/Zl2 -O�� <br /> 3003 W Caeino Hd N;S GaCes ES1,E70,E7B,EBS,EB6,EB9 <br /> PROJECT ADDRESS <br /> Hoeing 3003 W Casino Rd Everett WA 98203 425-717-7307 <br /> OwnBr Mall Addross Clry Slale/Zip Ahonu <br /> :,ame as above <br /> To�Ont MailAddross City Slale2ip Phonu <br /> RFI Communications <br /> s Securlty Sycteme 19717 G2nd Ave S �{F103 Kent WA 98032 253-981-6100 <br /> EIBCLIcEI Cont�acto� Mall Addmas Cly StelefZip Phone <br /> RF::COS*990MC 13, 619.00 <br /> State license Number Contrect Price of Work <br /> Proposed Use o10u1',ding Contacl Person (Plen Revlew) <br /> Square Footage(If residentiel new construction,rert�odel or addltion) <br /> DescrlpllonolWork:oBeDone: Inatall C,3mera3 for AMS gatea E51, E70, E85, EBG, E89, E78 <br /> RFI Job ti32-86-C2496 � °�tu,,,AJtGL�' <br /> — d <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RAGEWAYS, MC OR AC CABLE. $5 G .00 <br /> CITY OP EVERETT LOCAL SALES TAX COD[IS 3105 <br /> I horeby cerllly(haf I have read ond exomined fhis applicafion nnd know fhe some fo be frue and <br /> wnecf. All provisions o�laws nnd oidinances governing this typo 01 woik will be completed <br /> wholher spec/fied hemin or noL Tfre grantlng ol e peimd doos nof resume fo gfve eufhority fo <br /> violale or cancol fhe provisions ol any other sta�e or local law reguPling conshucfion or fhe <br /> peAormence ol consfrucflon. Thaf f em eufhorized by fhe ownor o!fhfs�roperty fo peAorm(be <br /> work foi which eppficafion is made and I conrplY wifh fhe Sfate Confrac ors Law 1b.4i RCW and <br /> 796.200 WAC. <br /> �����-, 11/30/12 <br /> —'—�nnlure ele <br />