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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—wvwd.everettwa.org <br />a - <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2804 Grand Ave <br />PROJECT ADDRESS <br />Sno-Isle Natural Food Co -Op 2804 Grand Ave Everett WA, 98201 4252593798 <br />Owner Mail Address City Staie/Zip Phone <br />Sno-Isle Natural Food Co -Op 2804 Grand Ave Everett, WA, 98201 4252593798 <br />Tenant Mad Address city State/Cp Phone <br />ADT LLC 11824 NORTHCREEK PKWY N BOTHELL, WA 98011 206-774-9499 <br />Electrical Contra Tor Mail Address City State0p Phone <br />ADTLLL*881 DO $7500.00 <br />State License rlumber Contract Price of Work <br />Commercial jennifer@nwpermit.com <br />Proposed Use of Building Contact Fersor (Plan Review) <br />Description of Work to Be Done <br />Install low voltage CCTV system <br />l2! 2 -0 <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. O <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310L <br />,hereby certify that /have read and examined this app„re cation and Arrow the same to be true and <br />catect. All provisions of laws and ordinances governing this type orwcrk will be completed <br />whether specified herein or not The granting of a permit does not presume to give author Sy to <br />vicla:e or cancel the provisions of any other state or local law reguPting construction c - the <br />prormance orconstruction. Toat I am authorized by the owner of this property to pertorm the <br />L�for which application is made and I comply Wth 'he State Contractors Law 18 27 RCW and <br />296. 200 "4C <br />,:annifer Burgess 12/13/2012 <br />Si gnaw; c ate <br />