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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—trnrvw.Pverettwa,org <br /> APPLICATIONS AfcE ACCEPTED FROM 8 AM TO 4 PM �_�� ,�J� <br /> �/3/Z -/� <br /> 2601 Everett Ave <br /> PROJECT AUDRESS <br /> GmcralTcamstcnUnionLocal3B 26Q1 Everett Ave EVERETT, WA, 98208 425-252-3800 <br /> Owner Mad Address Ctly StatelZip Phonc <br /> Robert and Renne Hayter <br /> Tenant MailAdAress Qry StatrlLip Phonc <br /> ADT LLC 11824 NORTHCREEK PKWY N gOTHELL, WA 98201 206-774-9499 <br /> Elec[rical Contractor Mail Address Gly State2ip Phme <br /> ADTLLL*881 DO $199.00 <br /> State License Number Cantrad Price of Work <br /> Residential jennifer@nwpermit.com <br /> Proposetl Use of Bwlding Contaci Person (Plan Revlew) <br /> DescnpGon of Work tu Bc Done <br /> install new security system <br /> One control, two Devices <br /> NOTE WIRING IN NON-DWELIINGS IS RE(aUIRED TO FEE <br /> B[ IN FACEWAYS, MC OR AC CABLE. <br /> 56 . 00 <br /> CITY OF EVERETT LUCAL SALES TAX CODE IS 3105 � <br /> I hcreby certAy tha!I have read and examined(his applica(ion and Mow the same to be Vue and <br /> carr.cl Al!provisions ol laws and ordinances governmg 1hu type ol�vak wdl bc cornpleted � � �' � I � <br /> wheiher specnietl hcrein or noL The granting ol a permrt does not resume f�gNe authorrty to � � <br /> vrolate or cancel ihe provisrons ol any olher state w local/aw�eguPtiny construction or rhe <br /> perlormance ol construdion. Thaf I am aulhorized Dy 1he owner ol thrs propeiry to perlorm fhe <br /> wcrk lor wh�ch applicabon is made and!compy with Ihe Stale COnUactors Ww 78.27 RCW and <br /> 296.200 WnC. <br /> lennifer Bur ess ;':���:��;:•~.�_,° w �..,.�w„� 2 3 <br /> ..�._dn„_:„• <br /> 9 W:'r,;;;:,�k„ 12/18/ 01 <br /> ignartuc te <br />