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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES y`Dy��Z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—vnruw.evereriwa.org �/� l(—Da,f7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3021 Rucker Ave <br /> PROJECTADDRESS <br /> 5�„���«�,�„�M���o�«��.�«�*��n p0 BOX 3429, REDMOND, WA 98073- <br /> Ovmer Mail Address Ciry StatHZip Phone <br /> Kroakers Same as site Everett, WA 98208 425-226-5246 <br /> Tenant Mail Address Clty StetdZip Phone <br /> ADT 11824 NORTHCREEK PKWY N BOTH ELL, WA 98011 206•774-9499 <br /> Elec[ricai Conlractor Mail Addras QN StatelZip P��o^e <br /> ADTSES103205 125.00 <br /> State License Number Contract Price of Work <br /> commercial jennifer@nwpermit.com <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> Add device to low voltage security system <br /> NOTE: WIRING IN NOfJ-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� 11 <br /> I herebV ceRity fhat 1 have read and examined th/s applicatic�i antl kraw the same ro 6e Vue entl �IZ�y—QZ� <br /> carecL All provisions o/laws antl adinances govermng thw rype ol wak wi/l be completed <br /> �vhefher specd�ed herein or noC The granting d a permrt dces not presume to g/ve authorrty to <br /> violafe or cancel the provisions of any other state or focal law regulaGng consUuctron or the <br /> performance oI constructron. That I am aurhorized by ihe owner oI this properry to perlorm the <br /> wcrk lor which applicafbn is matle and I cvmply with the State Contractors Law 78.27 RCW and <br /> 296.200 WAC. <br /> Jennifer Burgess �'�m`-���-�-=='"�'��`�'°"""' 04/03/2012 <br /> W:�,�.,�.,,.,n„w,w <br /> ipnature ° <br />