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�1-15-'11 17:96 FROM-rr.a permit 136D9952091 T-962 P002/002 F-398 <br />��ECTRI��►L PER�VIIT APPLICATION <br />_ -_ _____.� ��w���� r�P"!"t\!1/+CQ <br />3200 CEOAR STREET, EVERETT, WA �J8201 <br />425-257-881G - FAX 425-257-IIf357 - www.everetttiva.crg <br />APPLICATIONS ARE ACCEPTGD FROM 8 �M TO 4 PM <br />7725 Evergreen Way <br />pROJECT ADDRESS <br />Big Lots 4529 <br />Owne� <br />N/A <br />Tenant <br />7725 Evergreen Way E.verett <br />tAail Address Ciry <br />Nail Address <br />ADT SECUFItY SERVICES INC. 77024 PJ GftEEK PKWY N, SUITE �11a5 <br />F�eclricalConifactor � MailAddress <br />ADTSES103205 <br />Slala Liconse Number <br />599 Other Retail Trade NEC <br />Proposed Use of Buitdin� <br />Add on to existi <br />Descriplion of Work to 6e Done: <br />NOTE� WIRING IN NON-DWELLINGS IS REQUIRED i0 <br />BC IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVC-RETT LOCAL SALES TAX CODE IS 3/05 <br />1 hereby certily ihaf 1 have �ead and sxamined lhls appiic <br />�n.roc�. all orov�slons ollaws and ordinances goveming. <br />Cily <br />BGTHELI. <br />Ciiy <br />��W <br />WA/982. <br />SlatelZip <br />Statc/Zip <br />WA 98011 <br />Slale/Zip <br />425-353-5760 <br />PMons <br />Phone <br />340�045�2767 <br />Pho�e <br />$250.00 <br />Contract Price of Wo�k <br />William Milihollin 360-945-2787 <br />Ccntact Person (Plan Review) <br />FEt <br />afion and know tho same fo bc truo and <br />(his rype o/work wlll6o completed <br />does not presume fo give authonty to <br />' law �agwafing consUucfion or the <br />� owner Ol this roperty to pei(omr fhe <br />State ConfracPrs Law 18.27 RCW and <br />� �'/� �/�� � r !� ��'' � � � <br />