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ELEC1'RICAL PERMIi' APPLICATIOIV <br />I CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — ww�v.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2430 Hoyt Ave <br />PROJECTADDRESS <br />IMMACULATE CONCEPTION <br />Owner <br />M11ail Address <br />�-1 � �`�' ,4�,�e <br />SAME A� SITE <br />City <br />IMMACULATE CONCEPTION SAME AS ABOVE Everett <br />Tenant <br />Meil Address <br />i�DT SECIIP.ITY SERVICES INC. 11824 N CREEK PKWY N, SUITE 7l105 60`HELL <br />Electr.cal Contractor Mail Address <br />ADTSES103205 <br />State License Number <br />Commercial <br />Proposed Use of Building <br />Cily <br />Slole!'ip <br />Phone <br />WA 98208 4253485353 <br />State/Zip <br />wn sooi i <br />State2ip <br />7000.00 <br />Contract Price of Work <br />Phone <br />360-945-2767 <br />1=hone <br />Jennifer Burgess (Agent) <br />Contact Person (Plan Review) <br />oes���Pt�o�o,Wo�h�oBeoo�e Installation of a Low Voltage Access control system <br />NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLF. <br />CITY OF EVERETT LOCAL SALES TAX COD6 IS 3105 <br />l hereby certily that I have �eatl and examined this application and know the same to be true and <br />correct. All prov�sions o/ lau�s and oidinances governing this type ot �vork will be completed <br />�vhether specAred heiein or no[ The grenting of a permrt does not presume to grve authonry to <br />violate or cancel the provisions of any other state or local la�v ragulating cons✓�uction or the <br />performance o/ consti�uction. 7hat I am authorrzed by the oemer of this property te perform the <br />c�er{. lorwhich application is made and I comply wrth the State Cen✓actors La�v tt,.27 RCW and <br />296100 WAC. <br />� ,m. ,__�,..,,,,:�,,, 06/01/2012 <br />Jennifer Burgess �,_n� �`,�;°�:°�" -,.�- -. <br />Nu,... <br />FEE <br />� I �(:� - v 1 c"� <br />