Laserfiche WebLink
ELECTRICAL PEftiV61T APPLII.�AT10N <br />CITY OF EVERETT PERMIT SERVICE:S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />6309 Evergreen Way Suite C <br />PROJECTADDRESS <br />La Pachanga <br />OKner <br />La Pacha <br />Tenant <br />ADT LLC <br />6309 Evergreen Way Suite C <br />�dail Address <br />h7ail AdCress <br />Everett <br />Ciy <br />Qty <br />11624 NORTHCREEK PKWY N gOTHELL, <br />Elec[rical Conlrector Mail Address <br />ADTLLL*881 DO <br />Shate License IJumber <br />Commercial <br />Proposed Use of Building <br />Description ol Work to Be Done: <br />Clry <br />Installing new low e•oltage intrusion slarm, One control, nine Devices <br />WA,98203 <br />SlatelLip <br />StatefLip <br />WA 98011 <br />State(Zip <br />$99.00 <br />Contract Price of Work <br />200-380-6676 <br />Phone <br />Phonc <br />200-774-9499 <br />Phcne <br />jennifer@nwpermit.com <br />Contact Person (Plan Review) <br />I�IOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN FACEWAYS, �JIC OF AC CABLE. �O � <br />CITY OF EVERETT LOCAL SALES TAX CODE 15 3105 � <br />I hereb certiJy that //iave read and examined this application and know the same to be true and � I 3�g - �� J <br />carecty n/l provisrons ol �aws and ord�nances govermng lhis rype oI work �vi/l be completed <br />�vhether specAied herein or not. The granting o/ a permR does not presume fo give authorrty to <br />violate or cancel the provisions oI any other stafe or /ocal /aw regu/aGng consVuction or the <br />perlormance o7consVuct�on. That I am authorized 6y !he owner of this property to perlorm fhe <br />wcrk lor which applrcaLon is made and I mmpy with ihe Sta(e CenUac(ors Law 18.27 RCW and <br />296 200 WAC. <br />Jennifer Burgess . M0.i� -�� .� '�"""' 08/02/2013 <br />�,w.,�. <br />ignature ate <br />