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� -- � <br /> ELECTRICAL PEi2MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 7_� 2 <br /> 425-257-8810 - FAX 425-257-8857—wv�nrteveret�va.org ��"a <br /> C/Z���-/�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 10011 3rd ave SE <br /> PROJECT ADGP,cSG <br /> EVERETT MALL h11N1 INC 10011 3rd ave SE Eve�ett WA, 98208 <br /> O�mer Mail Aatlress Ciry SlateJZic Phone <br /> Stuck Custom Automotive 10011 3rd ave SE Everett, WA, 98208 2069928769 <br /> Tenani MailAdtlress Qry SIak:/Zip Phone <br /> ADT LLC ��e�a r,oRTHCRE�K PKwv r, gOTHELL, WA 98011 206-774-9499 <br /> Elec[ntal ConttacYot Mail Address Ory Stale4'ip Pr�onc <br /> ADTLLL*881 DO $299 <br /> State L�cense Number Contracl Pnce of Work <br /> CommerCial jennifer@nwpermiLcorn <br /> Proposed Use ol Building Contact Person (Plan Rewew) <br /> Descnplion oi Work to Be Done __ __ <br /> install low voltage security systcm <br /> �dOI E WIRI�IG IN IJON-DW[I_LIf�IGS IS REC]UIP,FD i0 Ff:E <br /> E3[ I�I R/�C[Wl1Y5, MC OH �C CABLF. �D(� <br /> dTY JF EVEftETT LOCAI SALES TAX CODE IS 3105 <br /> !Itereb}�cert�fy that 1 have ieatl antl e�ar.uned fhis applrca6on and Mnow fhC s�2e to De hue and }— `2 I ( — I �1-� <br /> ccvrecl. Afl ptnvisions o/Wws anJ orelmances 9ovemmg lhis type ol work wtll be completeh ���- l / <br /> whelher speatie�7 nerern cr not �ne yrantinr�er a perrmt does not presume to g�ve authorRy to <br /> violale or cance!Ibe prov�sions ul any othr.r„fate or locdl/aw iegu/.37my conslruct�on oi the <br /> perlormance ol consVudion Tha�I am authon:ed Oy u�e owner ol t�ns orcperty to pe�foim the <br /> �vah lo� wqich appUcatron i; maJe antl I compry wrth Ihe State Contn, r �s Law 18 27 RCW ond <br /> 296 2JD INAC <br /> Jennifer Burgess -�. , ,, , , . • ,•� " "�"" 11/27/2012 <br /> Si�nJtum L lle <br /> I <br />