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t <br /> _ __ � <br /> ELECTRICAL P�RMI�' APPiICATION <br /> CITY OF EVERETT PERMiT SERVICES ,�j <br /> 3200 CEDAR STREET, EVERE'fT, WA 98201 '6 "��("�3 <br /> 425-257-8810 - FAX425-257-8857—w�n�vd.everethva.or i <br /> 9 ����_p�Cl <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 5705 Evergreen Way Suit�� #100 <br /> PROJECTADDRESS <br /> Second Hand Store 5705 Evergrec+n Way Suite ti100 EvPreit wA,98203 :'06-261-4401 <br /> Owner Mail Address City StatelZip Phone <br /> Seco�id I-land Store <br /> Tenant Mail Address C,9ry Sta•�,^ip Phone <br /> ADT LLC 11824NORTHCREEKPKWYN BOTHELL, WA98u11 206-774-9499 <br /> Electrical Contrador Mail Address C1N StatelLip Phone <br /> ADTLLL*881 DO �� 9a.00 <br /> SWte License Number Contract Price of Work <br /> <;ommercia! jennifer@nwpermit.com <br /> Pwposed Use of Building Contact Person (Plan Review) <br /> Description of Workto Be Done: <br /> Installing new low voltage intrusion alarm with C�.Ilguard, One control, nine Devices <br /> NO('E: WIRING IN NON•DWELLINGS IS REQUIREDTO FEE <br /> BE IN RACEWAYS, 14C OR AC CABLE, ���L�i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerYily th?t l have read antl esamined this application and know the same to be true and �/�Q' L� <br /> ccrrect :+ll prov�sions ollaws and e�dinances governing this q pe of work will be comp/eted E � .�='l-%' O —O� ( <br /> whether specdied hereir.or nct The grenting of a pe�mit tloes not resume to gNe authordy to <br /> violate or cancel the provisions e1 any other state or foca/law�eguPUng construcbon or the <br /> perlormance of cons!rucfion. That I am authorized by the owner ol this prope�ry to pe��form the <br /> wcrk for which appGcation is made and I compfy with the Siate Contractors Law 18.27 RCW and <br /> zss zov wac. <br /> _..�.N�.,...�,.�.. <br /> Jennifer Burgess �����������=�.�'�,�� ".'�"" 08/13/2013 <br /> �::��,�.�,��.,o.w <br /> ignature ate <br />