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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2707 Colby Ave Ste 1401 <br /> PROJECTADORESS <br /> SKOTDAL MUTUAL LLC 2707 Colby Ave Ste 1401 Everelt WA / 98201 <br /> Owner MeilAddress City Slele2ip Phone <br /> Merrii Lynch 2707 Colby Ave Sie 1401 Evereit WA/ 98201 425-402-3357 <br /> Tenant Meil Address Cily Sfete2ip Phone <br /> ADT SECURITY SERVICES INC, 11624 N CREEK PKVJY N,SUITE 5105 BOTHELL WA 98011 960•94547(S7 <br /> Eleclrltal Contractor Meil Address Ciry Stete2ip Phme <br /> ADTSES103205 $26000.00 <br /> State License NumUer Contract Price ot Work <br /> 619 Other Finance Insurance & Real Esiale Services W11118m 360-945-27$7_ <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Installation of low voltage card acess and CCTV system located in suite 1401 <br /> Description of W ork to Be Done: <br /> NOTE' WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceitrfy that I ha��e rea0 antl examined this application and Anoiv 1he same to be true end {, 1 I N.. �i '1 a <br /> correct. All Fiovisrons of fa�vs and ordinances goveinrng this type of�vorh u�dl be completed 1..� (./lY 1 J <br /> �vnether specAied nerein or not The 9ran!;ng of a permrt does not presume to give auihonry to <br /> violate or cancel fhe piovisions of any eme�state or iocal law regulatmg construcUon or fhe <br /> pe�tormance ol construc6on. 7hat I am authorrzed by the o:vner of this property to perlorm the <br /> �verk 7or�vh�ch application is made and I comply�wlh rhe State Con�actors Law 1827 RCW and <br /> 296.200 WAC. <br /> D!.It.�RI il]nN L./C:illlnin p]IL_IIL� <br /> WilliamMillhollin`;';,;,;l�"�"„��m°,°�'�nm�<<,'m`�'°�;5 06 /22 /2011 <br /> I:a�.e.:yl�.m.:?�1.111x-0�9' <br /> ,.ignature ate <br /> J <br />