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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA98201 , _ ad�l Z• <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �I �/ r0�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3003 W Casino Rd <br /> PROJECTADDRESS <br /> Boeing 45-716 Same as site Everett, WA 98208 253-773-9920 <br /> Owner Mail Address Gty SlatelZip Phone <br /> SAME AS SITE _ <br /> Tenant MdilAddress City SteteJZip Phone <br /> ADT 11824 NORTHCREEK PKWY N gpTH ELL, WA 98011 20G-774-9499 <br /> ElectncalContraCtor MailAddress Qty State2ip Phme <br /> ADTSES103205 $500.00 <br /> State License I lumber Con�racl Pnce ol WorF. <br /> commercial jennifer@nwpermit.com <br /> � Proposed Use ol Bwltling Contact Pe�son (Plan Revlew) <br /> DescripLon of Work to Be Done _ I <br /> Reconnecl telco Boeing PO # W868146. <br /> f 1;iTE \-VIRIMG IPl FION-G1/�'ELLI(IGS IS REQUIRED TO FE[ <br /> HE IN .AGE�VAYB tdC OF AC CABLF. ��(;I�,' <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 .� �-. � <br /> �hareby ce�7il}�Ihat l nave read and e�ammetl th�s apphcat�on and h�a�v fhe same to De Vue and � �--- C� I �' � �'� <br /> carec� All provrsrons ol laws and adinances govenang this fppe ol worh uoll be cornpleted <br /> �vhether specd�ed he�em a�not The granfmg d a pe����rt dces not presume to grve authaRy to <br /> v�plate oi cancel fhe prov�srons o/any other state or lo.:al laW regV/ahng construcl�on a fhe <br /> �cv!oimance ol consuucrron ?hat�am authoired bp the rvner ol�h�,ploperty'to pe�lorm fhe <br /> r.�nf fo� �enrcn ap/+Ucat/en is made and I comp��uath fde Sfate Contractors Law 18 27 RCW antl <br /> ;96 200 IM1'A C <br /> Jennifer 6urgess ., „ � - , ". ..' 01/25/2012 <br /> �igriaturr ate <br />