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� <br /> ELECTRICAL F`ERMIT �►PPLICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �j �-b 5—!Z <br /> 425-257-8810 - FAX425-257-8857—wwvo.everethva.org <br /> ��izo 6 -0 3,6 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 5125 Evergreen Way Suite D <br /> PROJECTADDRESS <br /> The UPS Store #2�12 SAME AS SITE <br /> Owner Mail Address City StateJZip Phone <br /> Won USA LLC DBA The UPS Store #2912 Same as site Everett, WA 98204 4252502332 <br /> Tenant Mail Address qty SlatelZip Phone <br /> ADT 11824 NORTHCREEK PKWY N BOTHELL, WA 98011 206-774-9�i99 <br /> Electrical ContfadOf Mail Address (]ty StatelLip Phone <br /> ADTSES103205 $1591 .00 <br /> State License Number Contract Pdce of Work <br /> Commercial jennifer@nwpermit.com <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Workto Be Done: <br /> Install low voltage CCN system with one control and 6 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 3105 <br /> l hereby certify that I have read and examined thls appl/catlon and krrow the same to be Vue and �I a��q ` �3 � <br /> carecC All provlsions ollaws and ordlnances governing this type o(work w/ll be completed <br /> tvhether specdied hereln or not. The granting ol a permR does not presume to give authortty to <br /> vlolate or cancel the provklons of any other state or/oca/law regula0ng cons7uction w the <br /> perlormance olconsVudlon. That I am authorhed by the owner ol th/s property to perlorm the <br /> wak for�vhich appllcation/s made and 1 cvmpy wtth the State Contractors Law 18.27 RCW antl <br /> 296.200 WAC. <br /> UV���VrNIr�lN�b��wy�� <br /> Jennifer Burgess ����..`�.�•..°���,°.�'��'°.��`"' 06/05/2012 <br /> ..,,��w�...�...� <br /> �:�,�w„du.�a,�, <br /> igna re a e <br />