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ELECTR'CAL PERMIT APPLICATION <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �— I�" �3 <br />425-257-8810 - FAX 425-257-8857 — v�i.everettwa.org ��� �`Oc17 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />906 SE Everett Mall Way, #500 <br />PROJECTADDRESS <br />D3Technologies 906SEEverettMallWay,�soo Evert;tt <br />owner <br />Tenant <br />Mail Address <br />Mail Addrew <br />Ciry <br />Clty <br />rvcoiNr�crtnT[os[curtiiv��c 11824NORTHCREEKPKWYN BOTHELL, <br />Electrical Contractor Mail Address <br />TYCOIIS88600 <br />State License Number <br />Commercial <br />Proposed Use of Building <br />Description of Work to Be Done: <br />WA, 98208 <br />StateJZip <br />Stale/Zip <br />WA 98011 <br />425-355-4903 <br />Phone <br />Phone <br />206-774-9499 <br />�N State2ip Phone <br />$1617.00 <br />Contract Price of Work <br />jenn ifer@nwpermit.com <br />Contact Person (Plan Review) <br />Takeover/reprogram exisitng burglar alarm system and access control system, hardwire glassbreak <br />and 2 door contacts. 5ite contact: Scott Hackbarth at 425-280-5486. One control and one device. <br />I�lOTE: WIRING IN NON-DWELLINGS IS REQUIP.ED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. �O� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ce�iiry that 1 have read and examined this application and know the same to be true and �� 3 �, —Q �� <br />caa'ect. All prov�s�ons ol/a�vs and ordrnances govemmg this type of work �vill be completed <br />whether speciGed herein or not The granting ol a pem:rt does not presume ro give authordy to <br />violate or cancel the provisions o( any other state or loca/ law regu/ating consvuctron or the <br />perlormance of consfruct�on. That I am authorized by the owner oI this property to perlorm the <br />�vcrk lor �vhich application is made and I compty �vith the State Contractors Law 1827 RCW and <br />296200 WAC. <br />Jennifer Burgess ,.�;;;;, ,.., �� �'�"""" 01/18/2013 <br />..ignature ate <br />