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ELEi�TRIC�,L P�RMIT AP(�LlC��'I�N <br />C4TY OF CVERETT PERMiT SERVICES <br />3200 CEDAR STRC:��T, EVERETT, WA 9820'I Z 7'Z --13 <br />425-257-8810 - FAX 425-257-8857 — v�n�,n�r.everettwa.ot g <br />� ,�D �. -I U 5 <br />API � ICATIONS ARE ACCEPTED FROM 8 dM TQ 4 PM <br />1510 SE f=verett Mall VVGy <br />PROJECT ADDRESS <br />Perfect Smiles Dentistry 1510 SE Everett Mall Way Evere'tt, WA 98208 <br />Owner Mail Address City StateJZip <br />Tenant Mail Address Cty StateJZip <br />ADTLLC 11824NORTHCREEKPKWYN gOTHELL, WA98011 <br />Electrical Contractor Mail Address <br />ADTLLL*881 DO <br />State License IJumber <br />Commercial <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Instell low voltage security system <br />G5ry <br />State2ip <br />Contract Price of Worf; <br />4253379270 <br />Phone <br />Phone <br />206-774-9499 <br />Phone <br />jennifer@nwpermit.com <br />Contact Person (Plan Review) <br />�IOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />�C� • nU <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� hereby certity that I have read and examined this application and know the same fo be true antl � <br />ca•rect. All provisions o(laws and ortlinances govem�ng this rype olwork �vill be comp/eted ��� ����" ��' <br />whether specdied herein or noL The granting o� a permit does not presume to give authorRy ro <br />violate or cance/ the provisions ol any other state or local law regulating construcfron or the <br />performance ol constructron. That I am authorized by the o�vner ot this property to perlorm the <br />wah for �vhich application is made and I comply with the Siate Confractors Law 18.27 RCW antl <br />296.200 WAC. <br />Jen!�ifer Burgess . , �;w'� �� `""'""" 02/22/2013 <br />— ignature ate <br />