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( ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERFTT PERMIT SERVICES �_�Z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 -0a7 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org ���3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 11114 EVERGREEN WAY #E <br /> PROJECT ADDRESS <br /> R,qzza,�'S SPORTS BAR same as project address EVERETT, WA 98204 a2s-2so-szza <br /> Owner Mall Addrass City SWtelLip Phone <br /> SAME AS SITE <br /> Tenant MeilAtldrcss G51y Slat�ILip Phone <br /> ADT 11824 NORTHCREEK PKWY N BOTHELL, WA 98011 206-774-9499 <br /> E�ec[rical Contractor Mail Address qty Slate2ip Phme <br /> ADTSES103205 $199.00 <br /> Shate License Numbar Contract Price of Work <br /> commercial jennifer@nwpermit.com <br /> Proposed Use of Building Contact Person (Plaii Reviev� <br /> > <br /> Description of Work to Be Done: <br /> ADDING GSM <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE _`;� <br /> BE IN RACEWAYS, MC OR AC CABLE. S O W <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> I hereby r.ertily that I have read and examined thfs applicatfon and Waw the same to be hue end � I 2 Q 3— 02� <br /> carecl. All provisions ollaws and adinances governing this type oI work will be completed <br /> whether specilled hereln or not. The grantlng d a permd does not presume to plve authorrty to <br /> valete or cancel the provklons ol any other siate or loca/law repuletlng construction a the <br /> pMamance ol consVudlon. That!am authorized by the owner o/thls property to per/orm the <br /> wcrk for which applicatiaq Is made and I compy wtth the State ConVactors Law 18.27 RCW end <br /> 296.200 WAC. <br /> uwn�M�JF��..4.a..r� <br /> Jennifer Burgess �.-�p„�,,.;M;;'q MW�,�:��-'°���"� 03/05/2012 <br /> ���a � � <br />