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E�EGTRICAL PERtVIIT APPLICATION <br />CITY OF EVERFTT PERMIT SERVICES <br />320QCEDAR STREET, EVERETT, WA98201 3�a$'-i3 <br />425-257-8810 - FAX425-257-8857-vnr�w.everettwa.org ��303-Ig9 <br />APPLICATIONS ARE ACCEPTED FRDM 8 AM TO 4 PM <br />7815 EVERGREEN WAY #1 <br />PROJECT ADDRESS <br />eveRCR[eN qSiAN Mnrzrcer 7815 EVERGREEN WAY #1 <br />Owner <br />Tenant <br />ADT LLC <br />hlail Address <br />Mail Address <br />Everett <br />Ciry <br />qty <br />11824 NORTHCREEK PKWY N BOTHELL, <br />Elec[rical Contractor A4ail Address <br />ADTLLL*881 DO <br />State License Number <br />Commercial <br />Proposed Use of Building <br />Description of Work to Be Done: <br />INSTALLING A 1 WAY WIRELESS REPENTER <br />f�IOTE WIRING IPJ PdON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WA, 98203 <br />Slate/Zip <br />Stale/Zip <br />WA 98011 <br />a2s-zs5-�soo <br />Phone <br />Phone <br />206-77d-9499 <br />�ry State2ip Phone <br />$215.00 <br />Contract Price of Work <br />jennifer@nwpermit.com <br />Contact Person (Plan Review) <br />I herebV certiry thai I have rearl and examinetl fhrs application antl know the same to be true and <br />ccrrecC A!I provisions o(/a�vs and ordinances governing th�s rype of work c� I be completetl <br />whether specilied herein or not. The granting o7a permd does not resume ro gNe authoriry to <br />viola�e or cancel the provisions ol any other sta�e or loca! la�v reguPting consf�uct�on o� the <br />pa7ormance olconstruction. That I am authorized by the ou�ner ol this property to perform ihe <br />ival; �or which application is made and I comply �vith the State Contracrors La�v 1827 RCW and <br />296 200 WA(:. <br />Jennifer Burgess ..,„�,,,,,�,�p, •� �"'�"" 03/26/2013 <br />FEE <br />��C,.(�'�� <br />, - � -� C;, �. <br />� � ��L��j —�-> J <br />