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ELECTRICAL PEaMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES p <br />3200 CEDAR STREET, EVERETT, WA 98201 3�� /`�Z <br />425-257-8810 - FAX425-257-8857—www.everettwa.org E��3_�Q2 <br />F�PPLICATIANS ARE ACCEPTED FROM 8 AM TO 4 PM <br />6004 Evergreen Way <br />PROJECT ADDRESS <br />ELO ASSOCIATES LLC PO BOX 60127, SEATTLE, WA 98160 <br />Owner <br />Meil Address <br />City <br />SYate/Zip <br />Phone <br />Puget Sound Gas 6004 Evergreen Way, Everett, WA 98203 425-343-5566 <br />Tonant <br />ADT SECURIN SERVICES INC. <br />Electrlcai Contractor <br />ADTSES103205 <br />State Llcense Number <br />Commercial <br />Proposed Use of Building <br />Meil Address <br />11824 N CREEK PKWY N, SUITE #705 <br />Meil Address <br />City <br />80THELL <br />City <br />Slete2ip <br />WA 90011 <br />State2ip <br />599.00 <br />Contract Price ot Work <br />Phane <br />36D•9452767 <br />Phone <br />Jennifer Burgess (Agent) <br />Contact Person (Plan Review) <br />DescrlplionofWorktoBeDone: Insta�� ��W V�Itage bu�g�ar a�arm SyStem <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TU <br />BE IN RACEWAI°S, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />l hereby certily that / have read and examined thls applkatlon and know the same to be true ana <br />correct. All provkions of laws and o�dlnances governing thls rype oiwork w!!I be completetl <br />whetherspecdied herein or not. The granting o1 a permrt does not presume to give authonty fo <br />vlolate or cancel the provisions o/ any other state or local /aw regulatlng consVuct�on or the <br />perlormance of consVucNon. Th.at I am author¢ed by !he owner of this property to perform the <br />work for �vhich application is made and I comply tvith the State Con7actors law 18.27 RCW and <br />296.200 Wi1C. <br />Paiu0. �q�ua N u.�.e��uwni <br />°"°"�"'"�.""°'�"",.°°° p3/19/2012 <br />Jennifer Burgess �q�w �,�u�,^��-���^-^^� <br />dv �,���,�,, �..��,� <br />igne ure e e <br />FEE <br />50`�' <br />EIZo�_��Z <br />