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r" <br /> . <br /> ELECTRICAL PERMIT APR'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 q �6_�.Z <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> �,Zo 9 -oas <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2005 Colby Ave <br /> PROJECTADDRESS <br /> Lynnwood-Everett SDA Hispanic Church Address same as site <br /> Owner Meil Address City Slale2ip Phone <br /> SAME AS SITE 2536538657 <br /> Tenant MellAddress City Stele2ip Phone <br /> ADT LLC 11824 N CREEK PKWY N, SUITE #105 BOTHELL WA 95011 360-945-2787 <br /> ElectricalContrector MeilAddress City Slete/Zip Phme <br /> AC�TLLL*881 DO 299.00 <br /> State Ucense Number Contract Pdce of Work <br /> Commercial Jennifer Burgess (Agent) <br /> Pr000sed Use of Building Contact Person (Plan Ruview) <br /> Descriptlon of Work to Be Done: Insta�� ��W V��tage Ser'ur�ty Sy$tem <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> 5� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> I hereby certlly that I have read and examined!h!s applkatlon and know the same to be true and ��^ O n^ �^� <br /> correct. All provislons oflaws and ordtnances govern/ng this rype ofwork will be completed L `�` L <br /> whetherspecitmtl herein or not. The granting ol a permrt does not presume to give autharity fo <br /> violate or cancel the provlsions ol any ofher state or local law regu/aUng consVuctron or ihe <br /> performance o1 construction. That!am authorized by the owner o!this p,.perty to peAorm the <br /> work lorwhich applkation is matle and I compty wifh the StatA Contactors Law 18.27 RCW and <br /> 296200 WAC. <br /> [�muM�aNAr.+kr�✓w+� <br /> Jennifer Burgess �w��U��=��'� g/06/2012 <br /> Ae�AIIa�W 1�y ItdOO <br /> aigna ure a e <br />