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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-881U - FAX425-257-8857—vw�nv.everettvva.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> 3602 Colby Ave <br /> PROJECTADDRESS <br /> Vision Quest 3602 Colby Ave, EVERETT, WA 98201 4252521591 <br /> Owner Meil Address City Slele2i0 Phane <br /> Tenant MeilAddress City Slete2lD Phme <br /> ADT LLC 11824 N CREEK PKWY N, SUITE #105 BOTHELL WA 98011 360-945-2787 <br /> Electrical Contractor Meil Address qty Slele2ip Phme <br /> ADTLLL*881 DO 75.00 <br /> Siate License Number Contract Price ot Work <br /> Commercial Jennifer Burgess (Agent) <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> oeS��iPt;�� orwo�k co ee oo�e: Install low voltage security system with one control and five devices <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRFD TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ���"� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby certily that I have read and examined thls epplkation antl Anow the seme to be true and � I�I �_ O� � <br /> con�ect. All provisions of laws and ortlinances govermng ih�s rype olwork will be completed <br /> �vhetherspecdkd herein or noG 7he granting o�a permit does not presume ro give authonty to <br /> vioiate or cancel the Provisions ol any other state or local law regulating consVuctun or the <br /> peAormance of construction. That I am autha�¢ed by the owner o/this properry to peAorm ihe <br /> work lor whi:h applicafion Is matle and I compty�vRh the Sfate Confiacrors Law 7827 RCW antl <br /> 296200 WAC. <br /> xvur�rseqr+a��wn� <br /> °"°"'�""'�""""�"`°`"'" 10/03/2012 <br /> Jennifer Burgess �,����u��^�m��^-°^M <br /> o-o�wumm�enuwov <br /> igneture e e <br />