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ELECTRICAL PERMIT APPLICATIOI� <br /> CITY OF EVERETI" PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FA7: 425-257-8857—vnnnv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1124 SE Everett Mall Wy <br /> PROJECTADORESS <br /> Bank of America 1124 SE Everett Mall �Vy Everett, WA 98208 425-55'I-3082 <br /> Owner <br /> Mail Address Ciy StateJZip Phone <br /> Tenant <br /> Mail Addren Ciry State/Zip Phone <br /> ADT 11824 NORTHCREEK PKWY N BOTHELL, WA 98011 206-774-949� <br /> Electrical Contractor <br /> Mail Address Qb Stale(Zip Phone <br /> ADTSES103205 $13000.00 <br /> Sta[e License Number Contract Price of Work <br /> commercial jennifer@nwpermit.com <br /> Proposed Use of Buiiding Contact Person (Plan P.eview) <br /> Description of Work to Be Done: <br /> Replacing 10 cameras and adding 4 cameras to active CCTV system. <br /> ��IOTE. WIRING IN NON-DWELLIf�1GS IS REQUIP.ED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � ��� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� I I����� <br /> 1 hereby certi/y that I have read and examined this application antl knoei the same to be Vice and < < <br /> carrect All provisions o(laws and ordinances governing(his type o(work�vill be completed <br /> �vhether sper,Aied herein or noL Tne grenting o�a permrt does not presume to give authoriq�to <br /> violafe or cancel the provisions o/any other sfate or local la�v regu/a6ng consirucLon or Ihe <br /> perlormance o/consirucfion. That I am authorized by the owner o(this property to perlorm the <br /> eiak lor which application is made and 1 compfy�vith Ihe Srate Contracrors La�v 18.27 RCW and <br /> 296.200 INA C. <br /> Jennifer Burgess ,,. ,, „ �� � " "" 12/28/2011 <br /> Signature ate <br />