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L] <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—vAvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3428 HOYT AVENUE <br />PROJECT ADDRESS <br />DAVID LEA 3428 HOYT AVENUE Everett WA, 98201 3603488488 <br />Owner Mail Address City State/Zip Phone <br />DAVID LEA 3428 HOYT AVENUE EVERETT, WA 98201 <br />Tenant Mail Address Gty Slate/Zip Phone <br />ADT LLC 11824 NORTHCREEK PKWY N BOTHELL, WA 98011 206-774-9499 <br />Electrical Contractor Mail Address Cry State/Zip Phone <br />ADTLLL*881 DO 524 <br />Stale License Number Contract Price of Work <br />RESIDENTIAL jennifer@nwpermit.com <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done' <br />RESALE INSTALL; INSTALL PANEL KEYPAD AND MOTION DETECTORS (ONE CONTROL AND <br />TWO DEVICES) <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. �C)� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cenily that l have read and examined Isis application and know the same to be true antl I'% 10 O l <br />caret( All provisrons of <br />and ordinances governing'tits type or work will be comple(ed l <br />whether speciried herein or not. The granting o/ a permd does no <br />ppresume to give aulhwrty to <br />violate a cancel the provisrons or any other state or local law regulating consructon or the <br />pw ormance or construction. That I am surnorized by the owner of this property to perrorm the <br />wak for whrctt application is made and I comply with the Stale Contactors Law 18 27 RCW and <br />296.200 WAC <br />Jennifer BurgessSignature Date <br />