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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 N�.a _ �� <br />425-257-8810 - FAX 425-257-8857— www.everettwa.org _ 0� <br />APPLICATIONS ARE ACCEPTED FR0119 8 AM TO 4 PM <br />6��� <br />-� EVERGREEN WAY <br />PROJECTADDRESS <br />owner <br />LIBERTY INCOME TAX <br />Tenant <br />nDT SECJRIIY SERVICES INC. <br />Electrical Contractor <br />ADTSES103205 <br />State License Number <br />Commercial <br />Proposed Use of Building <br />moilAddr�q a v <br />�9�4 EVERGREEN VJAY <br />Meil Address <br />1'1624 N CREEK PKWY N, SUITE �1705 <br />Mail Address <br />Ciry <br />EVFRETT <br />Cily <br />BOTHELL <br />Cily <br />Stale2ip <br />WA / 98203 <br />Slele/Zip <br />wn sao� i <br />Stale2ip <br />C►loy�� <br />Phme <br />425-341-4409 <br />Phone <br />360-945-2767 <br />Phone <br />W20� <br />Contract Price of Work <br />William Millhollin 360-945-2787 <br />Contact Person (Plan Reviewj <br />oes«�P��o�o�wo�ktoeeoo�e: ADD (1 DEVICE) TO EXISTING SECURITY SYTEM <br />NOTE: EIRN RACEWAYS MC OR AC CAB aUIRED TO <br />CIN OF EVER�TT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerfAy fhat I have read and examined Ihis application and know the same to be tr��e and <br />conecL All prov�sions o( la�vs and ordinances g.�vemmg thrs type ol�vork �vill be complefed <br />rinefher specAied herein or not The granting ol a permrt does not presume to give authonry to <br />violate or cancel the provisions o1 any other state or local la�v regu/aUng consuuciion or fhe <br />peAormance o! construction. That I am aufhorrzed by the owner oi fhis property to perlorm the <br />a�ork for �vhich application is made and 1 compty �vith the State Contractors Law 1827 ftCW and <br />296.200 WAC. <br />Diqi:. Oy eignd L•y 1ti illum M1HIhtl4n <br />William Millhollin OµtO�i�'wJ am�nepemuROT[mU5 11 r� ('� <br />D�te:011.fr1.1:1:A2.V.OTC7 1 � 4 I 1 // 2� Ll 1 <br />FEE <br />�LI u�f-05`� <br />