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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-6857—wvw✓.everettwa.ory <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1618 Hewitt Ave <br /> PROJECTADDRESS <br /> Predous convenience stare 1618 Hewitt Ave EVERETT� W14, 98201 425-212-9187 <br /> Owner Mail Address Ciy Statel'ip Phone <br /> Precious Convenience Store <br /> Tenant Mail Address C5ty State/Zip Phone <br /> ADT LLC 11824 NORTHCREEK PKWY N gOTHELL, WA 98201 206-774-9499 <br /> Electrical Contrador Mail Address Cly State2ip Phooe <br /> ADTLLL*881 DO 249.00 <br /> Stale License Number Conlract Price of Work <br /> Commercial jennifer@nwpermit.com <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be G�ne' <br /> Intrusion Alami Installation, one control and fifteen devices <br /> NOTE: WIRING IN NON-DWELLIf�1GS IS REQUIRED TO F��' <br /> BE IN FACEWAYS, MC OR AC CABLE. <br /> ��6 -�� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 31U5 <br /> I hereby cer7ily that/have read and examine�this application antl hrrow the same to be true antl ���I I ` D I � <br /> carect. All provisions o(laws and ordinances governmg this 7ype o/work�vill be comp/eted <br /> �vhether specifietl herein or noL The grantinq oJ a permit does not presume to grve authw,ry to <br /> violate or cance/the provisions ol any oiher state or/ocal law regulating construction or the <br /> pn�7ormance ol construaion. That I am authorized b}�the owner ol th�s property to perlorm the <br /> wak lor which applicatron is made antl I compry with the State Conuactors Law 18.27 RCW and <br /> 296.�00 WAC, <br /> JenniferBurgess . , , , „ -•� ""�""" 11/04/2013 <br /> ignature ate <br />