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f ' <br /> i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � —��� <br /> 425-257-8810 - FAX 425-257-8857–www.everettwa.org <br /> C'/Ge9���' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 4610 Evergreen Way <br /> PROJE(:T ADDRESS <br /> Marior, Barber same as project ad�ress EVERETT 98203 4253743468 <br /> Owner MailAddress Ciry Sta�e2ip Phone <br /> ��l�L�./t"�, '�,J��/� <br /> Tenant ' �� M@d Address City State2ip Phone <br /> ADT SECURITY SERVICES 11824 N CREEK PKWY N#105 BOTHELL WA 98011 360-945-2787 <br /> ElectriCal CoMraCtor Mail Address Ciry Stale2p Phone <br /> ADTSES103205 ADT SECURITY SERVICES <br /> State License Number Coniract Prtce of Work <br /> COMMERCIAL <br /> Propos:d Use of Building Contad Person (Plan Review) <br /> Description ot Work to Be Done: <br /> install low voltage burglar alarm system in small business <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA6LE. <br /> CITY OF FVERETT LCCAL SALES TAX CO�E IS 3105 <br /> 1 hereby cerniy that I have read and examined fhis applicafion ano know the same tn be Irue and <br /> correct. All provisions o/laws and ordinancesgoveming fhis type o/work will be completed <br /> whetherspeci�ed herein or not. Tlie granting o/a pe�mit does nofp resume to give authonty lo <br /> violate or cancel fhe provisions o(any ofher stafe or local law regulating consln�cfion or the <br /> peAorm�nce o/consPruction. Thaf I am aufhonzed 6y fbe owner oI�his property to pedorm the <br /> work lor which applicalion is^�ade and!compty with fhe State Contrac7ors La�v 18.27 RCV✓and <br /> 296.200 WAC. � ��i <br /> ��� " U �,' I I <br /> Signaiure Dale <br />