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ro o....,.0 o..n...........� .�..v z o.n eo,n.omaa ¢, oe zv �arnr� ,eao+000�m n..�.., o..,��.,..,�. .,..�..�a�. <br /> • • <br /> ELECTRICAL PERMIT APPLICATIOfV <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 /> �au-cc� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM r��Q6� I S <br /> 5129 Evergreen Way #3 <br /> PROJECT ADDRESS <br /> DAN JACKSON CASSAN JAMES 8 DORIS O Mercer Island WA 98040 <br /> Owner tdail Atldress Clty Statc2ip Phone <br /> Tommy Barber and Nail Spa 5129 Evergreen Way #3 Everett 98203 425-339-5351 <br /> Tenant raa�i AEdress Ciry Slate2ip Phone <br /> ADT LLC 11824 NORTHCREEKPKWVk105 BOT'HELL WA 98011 206-774-9a99 <br /> Elecirical ContraCtor I.tai1 Atldre,s GIy Stnle2ip Phone <br /> ADTLLL*881 DO 146.00 <br /> Stale License Number Coniract Pnce o(Work <br /> comme�cial jennifer@nwpermit.com <br /> Proposed Use of Build�ng , Contact Person {Plan Review) <br /> Description of 1Nork ta Be Done <br /> install new security system <br /> 1 control; 3 devices <br /> NOT[: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �D = <br /> CITY OF EVERETT LOCAL SALES TAX CGDE IS J105 �/� '/�,, <br /> !he�eby cerUly that I have read and eramined fhis apphcaf�orr and knowlhe same(o Ge fruo and C/ 7(J� —�S� <br /> correcL All provisrons ol/a�vs and ordinances govemmg this type ol work will Ge compleled <br /> whelher specifiod herein or not The grantmg ol a perrmt does not msume lo give authonty 70 <br /> vio/afe or cance/!he provisrons ol any other sfafe or Iocoi law reguPling const�uclion or fhe <br /> neAamance o!consfrucl�on. That I am aulhonzed by the owner o/fhis propeRy fo pedonn fhe - <br /> woik for which application is mode ond I compry wilh the Stafe Contrac(ors Law 08.27 RCW and <br /> 29G.200 WAC. ; Digitally 5igned by Naida Khan <br /> '� DN:cn=Naida Hhan,o=Nonhwest <br /> N a i d a Kh a n� N���n�����-��, � <br /> -rmail=na'�ia wnrrm�rn n r=11S <br /> Signature Date:201..06.4��1'�:02:14-07'00' <br />