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To F Pagc � ol 3 201��08�17 02 �5.09 (GMT) 7B6B4009393 From DeL•orah Shieltls <br /> _.. _ _ -_ __.—.. . ._ . . _ — ._—_—_- --_-- — _.__—.—__• _.__I <br /> ELECTRICAL PE�MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 425-257-8657 —www everettwa.org <br /> 11114 Evergreen Way Ste C <br /> I PROJECT ADDRESS I <br /> I Bhu Ping Thai Cuisine 6600 Evergreen Way Everett WA 98203 4ze-�-�-� ,,, <br /> I Owrer !,tad Adcre;; Gty S:atelZip Pnane <br /> Bhu Ping Thai Cuisine 6600 Evergreen Way Everett �NA 98203 azs-_��-� i �i <br /> T2nBnt Rtad ACe•ess Gty State�Z�O ?hone I <br /> IADT LLC ��824 �ORTHCREEK PKWY N gOTHELL, WA 98011 206-774-949° <br /> [I@Ctf�CZ� COnttdCtOf �':tail hdCress City Sta[elZip ?�or.e <br /> ADTLLL'`881 DO/ City: 050955 $99 � <br /> S;ate License �dumber ConVatt ?nce ot Work <br /> CommerCi81 jennifer@nwpermit.com <br /> Proposed Use of Rwltling Contact Person (Plan Rev:ew) <br /> Square Footage(if re,itlenhal new construction, remodel or adtlrtion) I <br /> 1 Control/ 3 Devices <br /> Number of devices(If low voltage) <br /> Desu�ption oi Worh to De Donz. �r�tall new security system . <br /> FEE r1 � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 � � Ov <br /> �— <br /> 1 ho�eby cortily th�!1 have iead and exanrined fhis applica7ion and Fno�v the same(o Go hve and _ � <br /> wrrr�cf Aq provisiorrs o/laws and o�dmnnces gavernrng flris typr, o(work wi71 be Conrpleted — <br /> whefhrr specrfed Irnrein or noL The yrrinfiny ol a pennif does nof prosurne fo givr, aufhonty fo pFRMI(iJ <br /> violale or cancel fhe pinvis�ons o!any ofhei sfafe orlocal law regula)iny con;fnicfion or the ^ � I I ' 0 n ` O�t <br /> peilnnnance of conslruclion Thul!am aulhonzed by(he owner o/Ihis proUe�7y fo peilonn Ihe t ��'{. U I <br /> v.o�k lUi which apphcali0n is made and 1 comply�vith U�e S!a!e Con(�acfors Lar� 18 27 RGW and <br /> ?95 700 WAC <br /> arY,v.a c.. .v... <br /> ,lennifer Covello - "`" '""'-"" 08/16/2014 <br /> o..�v.o�i n.u cem.•, <br /> Signature � Oate <br /> . �:,S;:�J"�)�U ' . <br />