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EL�CTRICaL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEUAR ST REET, EVEREI'T, WA 9fi201 <br /> 425-257-8810 - FAX 425-257-885i—wuow.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 10011 3RD AVE #L & M <br /> PROJECTADDRESS <br /> EVERETT MALL MINI INC 1001'� 3RD AVE EVERETT WA/98208 4'�5-290-9429 <br /> Owner Muill;ddress Cily Stele2ip Phane <br /> CTG, INC. 10011 3RD AVE EVERETT WA/98208 425-290-9429 <br /> Tenant Moil Address Ciry Stnte2ip Phone <br /> ADT SECURIIY SERVICES INC. 11624 N CREEK PKWY N,SUITE d105 BOTHELL WA 9�0/1 360-9JCi-2767 <br /> Electrical Contractor Meil Address Ciry Stele2ip Phme <br /> ADTSES103205 $250.00 <br /> State License Number Contract Price of Work <br /> 638 Mini-Warehouse William 360-945-2787 <br /> Proposetl Use ol Building ConWct Person (Plan Review) <br /> oe5���at�o�,oiwo�hcoeeoone: ADDING 1 DOORSENSORAND 1 MOTION DETECTOR <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certrly that I have read antl examined this application and Anow the same to be true and ��� .r��_ C ��� <br /> conect All provisrons ol/a�vs and ordinances gove�n�ng this type olwork�vill be completed � U � <br /> �vhelher specAied herein or not. The grenimg o1 a permrf does noi presume to give authonty W <br /> v�olate or cance/the prowsions oI any other state or localla�v regu/ating consiruct�on or the <br /> periomiance of construcLon. That I am autha�rzed by the owner o!this property to parform the <br /> �vork �or which applicatron is matle and I compty�vit(t tbe State ConSactors Law 7821 RCW and <br /> 296100 WAC <br /> [�p�dM��O�rJLr�ti1m��N.IL:�In 0 6 /13 /2 O 11 <br /> William Millhollin`" °;"'°.�:".",°''"° `°„•,'" <br /> mp nvprim��m.�J.5 <br /> n:u�.�a n.;,:u n v,ae�cr ca <br /> Signature ale <br />