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—� — ---� -- . _—� <br /> � � I <br /> i ELFrTRICAL PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDP.R STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX425-257-8857—vnavi.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3612 Calb Ave <br /> � y � <br /> i PROJECTADDRESS j <br /> I <br /> Just Relax 3612 Colby Ave Everett WA, 98201 2539853009 <br /> , O��ner h"a�l Atldress C�ry StatelLD Pnone <br /> I <br /> Tenant MadAaares, Qry SWtJZip Pnono <br /> ADT LLC 1182-0 NORTHCREEK PKVJY N BOTH F_LL, WA 98011 zos-��a•ga�s I <br /> Electrical Centrador 1dx�i AdCress Oty State2ip Pl,one . <br /> ADTLLL"`881 DO $585 <br /> State�icense Number Contract Pnce ot Work <br /> Commercial jenniter@nwpermit.com <br /> Froposed Use ot Bwlding Contact Person (Plan Revicw) <br /> Descnption ol Work to (3e DOne <br /> Add devices to existing low voltage secur�ty system i <br /> 3 Devices I <br /> � <br /> F10TE \NIRING IN NON-DWELLINGS IS REQUIR[D 70 FEE <br /> BE IN R�CEWAYS, MC OF AC CABLE <br /> ��,�V <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3705 <br /> I hereby ceRdy I/oat I have read and ezammed this appbcafron and Ano�v the same to De liue antl <br /> carect. All piov�srons o7/aws and orCmances govCrnmg this ype ol woik wtll De cempleted / � /` Q <br /> whether specdiea ne�ein or nof The t�ianling cl a permrt tloes no�Cre sume lo give au(lter�;y to � ( �v — � � C <br /> v+olate or cance!the prov�srons ol any olhe�stare or roca/fa�v regulahrrg consUucUon or tne <br /> per/ormdnce ol construction 7hdt I art7 au7hD�i.Bd by the OWOBr o/lh�5 properry to perloim fne <br /> wak Ior whrch appiica6on �s ntade and!comply with the State Contractors La�v 78 27 RCW antl <br /> 296 200 4VAC <br /> Jennifer Burgess . , ., �u ��'�"' 04/29/2013 <br />' :;igna ure �� <br /> _ . _. ___--. —_____—__. i <br />