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— - ` ----- — � <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vnnnri.everettwa.org <br />APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM <br />3116 Rockefeller Ave <br />PROJECT ADDRESS <br />s���o�•��Sh c.�����, ���v� c<<�,�:� 31 16 Rockefeller Ave <br />O�mer <br />".ar� ����ress <br />Everett <br />c�r, <br />5� a[1�Jta 5 ard��ay�t�v� EVERETT, <br />TCnant M1fa�l Address nti <br />ADT LLC 11E24NORTHCRE[K?f(�,Vl'N gOTi�ELL, <br />Elrc:nca�ConVactor -- r.•ar;.�.d�css G^; -- <br />ADTLLL*881 DO <br />Stu;e Li�ense Vurrb�r <br />� S N <br />F�oPcs?d Use c' B� itl��ig <br />Dzscripbon of W'orh ;o �'e Dcne <br />WA, 98201 <br />Sta��ip <br />WA 98201 <br />Sa�J� p <br />WA 98011 <br />Sizt�dZi:. <br />F^o^.e <br />425-249-2664 I <br />Pho^.0 i <br />206-77d-9499' <br />:^me <br />500.00 <br />ConVact Fnce ot Work <br />jennifer@n��permiLcom <br />Contact Person (Pian Rev�ev:) <br />InUusion Alarm Installation (ONL= CONTROL ANU TWEL�[ DEVICES) <br />i�!OTF \NIRING I� 1 NON-CW'tLl I'dC',S IS I�EOUIF.E!� TO <br />f3E IN R�C�WAYS, (JIC CR AC CABLF. <br />I CITY OF EVERETT LOCAI. SALES TAX CODE IS 3105 <br />� hereAy cBr7dy Llat l have re]d antl ea.]mrnetl thrs applica(�on and hnoN Ihe sante Io be lrue antl <br />ccvrecf All provisrons o/laws and ertlinances governing thrs type ol work �vdl be complete,7 <br />Itvh.Btl7Pr specAled hzrcin a not The granlr.7g c' a permrl tloBs not pr�sum,e to �n�e au7hor6y to <br />Vl0!dPB O� CdRCP/ fhB p/pVIS10175 Of 8/7}' O(hB/ Sidt2 Or lOLdl ldlY /POUl3(n1G CO�ISfIIIC;iOl1 O�' U7(� <br />pc�lerrnance o! cenStruCrpr, ifrat l am autno�r.etl Dy tne ownei o� uvs properly to pe� �erm tne <br />�:r��F. 7C� �rrv:h appl�CaN��; �s r..�ye and / contp,y wr;n the State Ccntracters La�: 1& 2' liG41- dr,a <br />7PU 2G0 bl'AC <br />.�-......., �. ....... <br />Jennifer Burgess .,........:....,..�...,.,,,......�....,. <br />s�;�,���,�� Y. .,.,......, e��� <br />P[[ -. -- � <br />5 0 �O I <br />— � <br />I� � �(1 %� l8/ <br />N <br />