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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200CEDAR STREET, EVERETT, WA98201 y` �3-�3 <br />425-757-8810 - FA : 425-257-8857—vnaw.everettwa.org G�3 �� �/S/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�L(�,n <br />�SE Everett Mall Way <br />PROJECTADDRESS <br />Burlington Coal Factory, JI813 1510 SE Everett Mall Way <br />Ov,ner <br />Tenant <br />Mail Address <br />Mail Addre� <br />Everett <br />ciy <br />G1ty <br />Trcowr[crtar[os[cuH�rv��c 11824NORTHCREEKPKWYN BpTHELL� <br />Electrical Contrador Mail Address <br />T`�(COIIS88600 <br />State License Number <br />Commercial <br />i-roposetl Use of Buiiding <br />!'sscription of VJork to Be Done: <br />a�v <br />WA, 98204 <br />StatelZip <br />Sl2teJZip <br />WA 98011 <br />StatelLip <br />$7854.00 <br />Contract Price of Work <br />Phone <br />Phone <br />206-774-9499 <br />Phone <br />jennifer@nwpermit.com <br />Contact Person (Plan Review) <br />Install burglar alarm system, connection to EMS systern to activate lights, connection to fire alarm <br />panel installed by othes. <br />,;� ? G�: � rfYc I s �- I d^. t', ca' s <br />� IGTE WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />f-EE <br />5� o0 <br />1 heieby ceriily tha� 1 have reatl and examined this application and hno�v fhe same ro be true and ( I 7� n L� _� J I <br />carect. AO provis�ons of/aws and ordinances govemin4 this rype o(�vork �vill be comp eted L �� <br />�vhether specilied herein or noG The granting of a permit does not presume to give authortty to <br />violate or cancel the provisions o/ any ofher s7ate or local l��v regulafing consfruction or the <br />pe-lormance o! construction. That 1 am authori_ed by the owner of this property to perlorm the <br />�vark Ior �vhich application is made and ! compry with 1he State Confiactors Law f82? RCW and <br />296200 WAC. <br />Jenni�er Burgess . , , _ - � "' "" 04/23/2013 <br />ignature ate <br />