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- —� <br /> �LECTf�ICAL PERMiT APPLICATIGN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - rAX 425-257-8857—wv✓w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FRCNI 8 AM TO 4 PM <br /> 1124 SE Everett mall Way <br /> PROJEc . ADDRESS <br /> Bank Of America same as above Everett WA / 98208 425-259-7761 <br /> Owner <br /> Mail Address City Slate/Zip Phone <br /> Tenant MailAddress City Stale2ip Phone <br /> ADT SECURITY SERVICES INC. 17624 N CREEK PKWY N,SUITE�l105 BOTHELL W!�9801 i 360�94r2787 <br /> Electrical CoMractor Mail Address Cily State/Zip Phone <br /> ADTSES103205 8700.00 <br /> State License Number Gontract Price of Work <br /> Other Retail Trade NEC Jennifer(AgentOnly)jenniferceinwpsrmit.com <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Replacement of the existing CCTV recordirig equipment--No new wiring will be pertormed <br /> Description of Work to Be Donc: <br /> NOTE WIRIf�1G IN NON-DWELLINGS IS REQUIRED Tu FEE <br /> BE IIJ RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certAy that I have read and examined this applicaiion and know the same to be trua and �- <br /> correct. All p�ovisions of laws and ordinances governmg th�s type o/work will be completetl �la(��'_ � � � <br /> �:�hetherspecdied herein or not The granting of a perm�t does not presume to give authoiity to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance o/conslruciion. That I am authorized by tl�e o�vner o(this prop�rty to per/orm the <br /> �vorH for which application is made and 1 comply with the State ConUaciois La�v 18.27 RGW and <br /> 296200 WAC. <br /> � o,�;�a���„�,,,�dbr,v�����,������,o���„ 4/25/12 <br /> ''. DI¢ar�Yillmm Milihullm.udU1'Cerm�.:. <br /> William Millhollin o�,�.,na,,-w,���„��„w,:�,�,.,«��.� �s <br /> Da!e'.2011.CY.31 LJ:55':.: CI�C: <br /> Signature ��e <br />