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{ <br /> � ELECTRICAL PERMIT APPLI�ATION <br /> � CITY OF EVERET7 �ERMIT SERVIC�S <br /> i 3200 CEDAR STREET, EVERETT, �VA 98201 <br /> I 425-2�7-8810 - FAX425-257-8857—wwvi.everettwa.crg <br /> APPLICATIONS ARE Af,CEPTED FROM 8 AM?O 4 PM <br /> 5616 Evergreen Way _ <br /> PROJECT ADDRESS <br /> White Buffalo 272� RUCKERAVE STE 101, EVERETr, WA d25-3�38-5446 <br /> Owner Mail Address Ciry StateJZip Fhore <br /> St\ME AS SITE <br /> Tenant N;ail Addre� Glry StatelLip Phone <br /> ADT 118'L4 NORTHCREEK PKWY N 30THEL�, WA 98011 206-774-9499 <br /> Electrical ContraClor ldail P.ddress Clry State2ip Phone <br /> ADTSESf03205 $7600 <br /> S4,te License Number Contract Price ot Work <br /> commercial jennifer@nwpermit.com <br /> Froposetl Use of Build!ng Contact Person (Plan Review) <br /> Description of Workto Be Done: <br /> Replace the exis�ing security control, conriect to the existing devices and add new--add additional <br /> CCTV equipment to lhe existing CCTV system <br /> f�IOTE: VVIRING W NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC GR AC CABLE. <br /> �- qTY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 � <br /> ' I hereby certily thai!have read and examined this application and knew ihe same to be irue and �12'� Z- G 1,L� <br /> ccrrect. A/l provisions ollaws and ordinances govemmg fh�s type el:vork wdl be completed <br /> vrhathe-spec�Ged he�c�n or not The granting ot a permrt dces noi resume to give authcrdy to <br /> violate or cance/�he proci=ions of any other state or localla�v reguPaGng construction or me <br /> p�formance ol construdion. That/am authorizetl by ihe owner of th/s properry to perlorm the <br /> wah for which application is made and I compty�vith ihe State Contracfors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> Jennifer Burgess .. „`�;;;" , •.� .. ",.",,.' 02/17/2012 <br /> .gnature ate <br />