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C <br />ELECTRICAL pERMIi APPLICATI��N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—Nnn�w.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TU 4 PM <br />7601 Evergreen Way J2 <br />PROJECT A�DRESS <br />Flights Pub <br />Ovmer <br />Same as site <br />Mail Address <br />City <br />StaleJZip <br />G-1�u�097 <br />Phone <br />F�hts Pub Same as site Everett, WA 98203 4253476659 <br />Tenant Mail Address Clty StatULip Phone <br />ADT <br />Electdcal Contrador <br />11824 NORTHCREEK PKWY N BOTHELL, <br />ADTSES103205 <br />License Number <br />commercial <br />Proposed Use of Building <br />Descrlption of Workto Be Done: <br />Mail Address <br />Install low voltage security system <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA� CODE IS 3105 <br />C1ty <br />WA 98011 <br />StatelZip <br />$99 <br />Contract Price of Work <br />206-774-9493 <br />Phone <br />jennifer@nwpermit.com <br />Contact Person (Plan Review) <br />1 hereby ceRily that I have �ead and examined thls applicat/on and kmw the same !o be true and <br />ccrrecC All provisions of la�vs and ordinances governing this type ol �vork wi/l be compfeted <br />whether specd�ed hereln or noL The granting d a permtt does notpresume to give authordy to <br />violate or cancel the provklons ol any other state w/oca! la�v regulaUhg consVuctMn or the <br />pa�lormance olconsvudion. That ! am authorized by the owner of fh/s property to perlwm the <br />wak (or wh/ch application !s matle and I compy with the Stafe ConVactors 1_a�:� 18.27 RCW and <br />296.200 WAC. <br />UNui��..JN��+.4�ww� <br />Jennifer Burgess �w.��������°�°""�°��"�'°'��" 04/17/2012 <br />...�..�...,Y.., w <br />W�Al1Mi]�f��40�W <br />ignaNre ate <br />FEE <br />Gi o1 �--f - v � �- <br />