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ELECiRICAL PERIMIT AppL�CATION <br />CITY OF EVERETT PER'MI,T SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857–Nnvw.everethva.org <br />APPLICATIONS ARE ACCEPTcD FROM 8 AM TO 4 PM <br />1402 SE E�•erett Mall Wa <br />PROJECTADDRESS <br />Ben Brida <br />Owner <br />same as project address <br />Mail Address <br />EVERETT <br />City <br />Tenant Mail Atldress <br />C1ty <br />ADT SECURITY SERVICES 11824 N CREEK PKWY N#705 gOTHELL <br />Elecirical Contractor A;ail Address <br />C�iry <br />ADTSES103205 <br />>tate License Number <br />COMMERCIAL- OTHER SERVICES <br />Proposetl Use of Building <br />Description of Work to Be Done: <br />addition of back up transmitting communication control <br />NOTE VVIRING IN iVON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />!� -i 9 -lU <br />98208 <br />StateJZip <br />StateJZip <br />WA 98011 <br />StalelLip <br />692.00 <br />Contract Price of V�brk <br />Contact Person (Plan Review) <br />lo the existing low voltage system <br />CITY OF EVERETT LOCAL SqLES TAX CODE IS 3105 <br />I hereby certi/y ihat l have read and eramined (his application and know the same to be true and <br />carect. All piovisions o//a�vs and o�dinances governmg lhis type opl work tvi!l be completed <br />vbleteorpaicel�l,eep�ovi�so�sr�o%anyother�9t� oreocala�iveregulati g� onst�r9jo�aod�j,ey�to <br />P ak fo evl�,ch aFpl,cauoi�s madet and ! co p�y�dt� thz State Co Ga�ctorsFLavY18 27 RCll�end <br />296.200 WAC. , -� <br />�` ,I <br />, <br />l'��` .�=�—� <br />`✓ �� <br />ignature <br />ate <br />FEE <br />425-402-3357 <br />Phone <br />Phone <br />36D-945-27F37 <br />Phone <br />�prl-l�� <br />