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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF E\/ERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> �q —�r <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �tiO�'- ob� <br /> 4610 Evergreen Way Ste 3 <br /> PROJECT ADDRESS <br /> MARHANLO LLC 4610 Evergreen Way Ste 3 Everett WA/98203 �25-374-3468 <br /> Ownef Meil Address Ciry SlatelZip Phane <br /> Marion Barber Men's Grooming 4610 Evergreen Way Ste 3 Everett WAI98203 425-374-3468 <br /> 7enant Mail Address Cily Slete2ip Phone <br /> ADT SECURITY SERVICES INC. 11024 N CREEK PKWY N,SUITE#105 BOTHELL WA 98011 360•945�2787 <br /> ElectricalContrector MellAd�.lress City Slete2lp Phnne <br /> A�TSES103205 $200.00 <br /> State License Number Contract Price of Work <br /> 623 Beauty & Ba�k�er �arvices William 360-945-2787 (Agent) <br /> Proposed Use of Building � Contact Person (Plan Review) <br /> oest��P�,o� ofW��ktoBeoo�O; Installation of a new burglar alarm / CCTV system. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EV�RETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that I have read and examined thls appl/catlon and knotv ihe same to be tr�e and �� ��, /�/ ^ <br /> correct All provls/ons ollaws and ordinances govemmg thls type ofwork wlll be completed (�y <br /> �vhetherspecAied herein or not. The prenting oI a permit dces not presume to give authonry to <br /> vio/ate or cancel the provisions o!any othe�sta6=or local law regulating consVuction or the <br /> peAormance of construction. That I am authork�d by the owner of this property to peAorm the <br /> �vork for which appl!cation is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> o§ndh+�a�.a Lrwuf,m m+n�o�n <br /> William Millhollin 0���•µ'��IumM1LIhollqoWWl4�mLL 0 8 /0 9/2 011 <br /> oe,emJ�wYliemFnwpamawT�•US <br /> Dele:]01I lIB.09 B)IIJS�W'DO' <br /> igne ure e e <br />