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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 r�_-� .� � <br />425-257-8810 - FAX 425-257-8857 — vr,wi.everemva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 pM C� ?�U-UG �v <br />3112 Rockefeller Ave <br />PROJECT A�DRESS <br />Berner Law Group 3112 Rockefeller Ave <br />ow�er <br />A!ad Address <br />Everett <br />C�� <br />Berner Law Group 3112 Rockefeller Ave EVERETT, <br />Tenant ��1a�1 AGaress P�• <br />ADT LLC 11824 NORTHCREEK PK�'JY N gpTHELL, <br />El2itflCdl COf11"dQdf A'3'�I f�dA'C55 QtJ <br />ADTLLL*881 DO <br />Statc l�cense IJwnber <br />RESIDENTIAL <br />Froposed Use ot Bwlding <br />DeScnpLon o� �Nc�� to Be Donc <br />WA, 98201 <br />Slalel'io <br />WA 9820? <br />Statel'�p <br />WA 98�11 <br />State2o <br />• , / , / <br />425-:59-6533 i <br />Phore <br />425-259-6533 <br />Phone <br />zos-na-sass <br />anme � <br />Conuact Pnce of Worh <br />jennifer@nwpermit.com <br />Contatt Ferscn (Plan Review) <br />Intrusion Alami Installation (ONE CONTROL AND FIPTEEN DEVICES) <br />MOTE 1NIRING W NON-D�NELUhJG� IS r^.EQUIRED i0 <br />B[ IN R�CEWAYS, �dC OF AC CABL[. <br />r-eE I <br />�� � <br />QTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I nereDvi ce�Lly fhat I have reatl and e�amrnetl this appLcation and hncw tlie same to De Vue antl C 13 I O_ O%a� <br />carect. AI! provrs�ons O//dw5 Jntl crdu7dnCC5 gavBming Ih�S t}'pB OI �sC�h wtll DC COmplEtBd l.._ e <br />�vhether specAied nere�n or nol The gran6ng o! a peimR does not resume to grve authorf,c to <br />viola(e a cance� the provisrons of any otner sta�e er reca� law ieguPbn� consvuctron or me <br />ppformance o! consVudion. Tna1/ am au(honzed Dy the owner of tlrr;� property to perform !ne <br />wo�h for wh�cn applicabon is made antl 1 compy �vrth tbe Sfate Con(rac!ors Law 18.2i RC4V and <br />2so zo0 wac <br />JenniferBurgess . �=, , , ��• ���°���"' <br />:,,,;a : <br />igna;urr tc <br />