Laserfiche WebLink
l <br /> ELECTRICAL RERiVIIT APPLICATION <br /> CITY OF EVEt�ETT PEhMIT SER\/ICES 3�i5_3•-� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3_�O)f <br /> 425-257-8810 - FAX 425-257-8857—www.everetN✓a.org C'�� <br /> APPLICATIONS ARE ACCEPTED FRDM 8 AM TO 4 PM <br /> 262'1 Colby F�ve �uite 21 <br /> PROJECTAODRESS <br /> 4 Evergreen Group 2621 Colby Ave 5uite 21 Everett, WA 98201 2536917293 <br /> O�+mer MailAddress Ciry Slate2ip Phone <br /> ,r <br /> Tenant MallAddress Qly 5tateJZip Phone <br /> ADT LLC 11824 NORTHCR[EK PKWY N BpTHELL, WA 98011 206-774-9499 <br /> GlecVical Contrector Mail Address Qry State/Zip Phme <br /> ADTLLL"`881 DO $99.00 <br /> Siate License Number Contract Price of Wo�k <br /> Commercial jennifer@nwpermit.com <br /> Proposed Use of Bwidiny Contact Person (Plan Review) <br /> Description of Workto 6e Dcce�. <br /> Install low voltage securily system with one control and six devices. <br /> (dOTE: WIRING IN NON-CWELLINGS IS REQUIP.ED TO FEE <br /> BE IN RACE✓VAYS, MC OR AC CABLE. ��� <br /> CITY OF EVERETT�OCAL SALES TAX CODE IS 3105 <br /> I he�eby ce�7ify that 1 have read and examined this applicatiun and hno�v ihe sarne to be true and }L—�� (1 7, '��� <br /> ca�ect. All pravisions o/laws and ortlinances yoverniny this type of eiork�vill be completed c_ U <br /> n�he;her specilied�ierein or not. The granting e!a pem�r:does no(presume to yNe authorrty to <br /> eiolate er cance!t��e provisions ol any other state or local la�v regulating cons Vuction or the <br /> performance of consVudron. That 1 am authorized 6y the owner o/this property to perform the <br /> �vak tor�vhich a�plication is matle and I cromply wtth ihe State Conuactors La�v 1827 RCW end <br /> 296200 VVAC. <br /> Jennifer Buryess .�, �;`;,-� ��� '"" """ 03/12/2013 <br /> Sim�ature ate <br />