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� � - <br /> ELECTRICAL PERMIT APPLIGATIQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 c( �!�l�—!z <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org C�ZO��6�p <br /> / i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2915 Colby Suite B <br /> PROJECTADDRESS <br /> Ark Insurance 2915 Colby Suite B Everett WA, 98201 44257406058 <br /> Owner Mail Address Ciy StatdZip Phone <br /> Arklnsurance <br /> Tenant Mait AdOrea dry StetHZip Phone <br /> ADT 11824NORTHCREEKPKWYN BOTHELL, WA98011 206-774-9499 <br /> Electrlcal Con[rac[or Mail Address qy StatelLip Phme <br /> ADT�ES103205 $149.00 <br /> SYate Licens�-Number Contrect Pdce of Work <br /> Commercial jennifer@nwpermit.com <br /> Proposed Use of Building Contact Person (P�an Reviev,� <br /> Description of Workto Be Done: <br /> Install low voltage security system with one control and five devices <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 3106 (� �a U� - O�� <br /> 1 hereby certily that I have read and examined ihls epplicatlon end know the same to be true entl <br /> carec( AI!provisions oflaws end wtllnances governing this type ol work wi/l be completed <br /> whether specdied herein or not The grant/ng a'a permrl dces nol presume to gNe authorily to <br /> vlo/ate or cancel the provlslons ol eny other state or local/aw regulating consVuctbn or the <br /> per/amance ol consVudron. That I am authorized by the owner ol this properry to perlorm the <br /> wcrk for which applicatan is made and 1 c�mpry wtth the State Contractors Law 1H.27 RCWand <br /> 296.200 WAC. <br /> Jennifer Bur ess ��"���'��`����°•�'�-'���"' <br /> 9 w-��,;,;,,�.;;.,w -� � 09/13/2012 <br /> ignature � <br />