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APPLICATION FOR EL o ����'� IT <br /> � <br /> Ils�s�zl FEB - 3 IS°3 pUIID/NC DVIVISION <br /> 3200 CmAR STREET <br /> ............................................................... EVEIiLTT, MA 982D7 <br /> CITY OF EVERETT <br /> 259-8810 Public Works Dept. <br /> Nillenium, Inc . DBA Dollars & Cente 5233 Evergreen Way Everett ,WA 98201 290-8288 <br /> Orvner Mail Address ity tate Lip Phone <br /> enant � Mail ddress � ity . taCe ip 'hone <br /> 251-9727 <br /> Brinks Home Security 19115 1d Valley Hwy 11H106 Kent , 1dA 98032 gRINK HS 148 LE <br /> lectrical Contractor Mai Address ity tate ip hone tate icense o. <br /> commercial <br /> on racC Price o Work f'ropused Use of E3uilding <br /> vernreen Wav Gverett , WA 982G1 <br /> Pro��e t Address <br /> Di�.ription of Work To �c Done: IntTusion alarm _ <br /> NOTE: WAG 296-4G-740 REOUIRES THAT PIANS FOR ELECTRICAL WORK AT [DUCATIONAL, INSTITUT�ONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED DY TH[ STATE OF WASfiINGTON. APPLICA�dTS WITH SUCIi J0�5 MUST SHOW TNE STATE APPROVED PLANS OEI"ORE A <br /> CIT1' OF EVERETT PERMIT hILL �E ISSUED. <br /> NOTE: WIRINC IN tJOH-DWELLINCS IS REQUIRED TO 6E IN CONDUIT. <br /> I HEREBY CERTIFY THAT I H�VE READ AND� EXAMINED THIS <br /> APPL�CATION AND KNOW THE SAME TO BE TRUE AND CORflECT.ALL <br /> PROVISIONS OF IAWS AND ORDINANCES GOVERNING lNIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF � PERMIT DOES NOT PRESUME TO GIVE ' <br /> AUTHORITY TO VIOLATE Ofl CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OF LOCAL LA�"1 REGULATING CONSTRUCTION Ofl THE <br /> PERFOFMANCE OF CONSTRUCTION.THAT I Ah1 AUTHORIZEU BY TNE <br /> OWNER OF THIS PFOPERiY TO PERFORM THE WORK FOR WHICH FEE $30 . 00 <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> X �-��c 3 �, �c�S_'n <br /> Siynaturc Oatc <br />