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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 - FAX 425-25r-8851-vronl.everethva.org G r 30 3 -0 <br />- APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM— 3 �u `' 3 <br />4367 Rucker Ave <br />PROJECT ADDRESS <br />Everett Denture; & Dental 4367 Rucker Ave <br />Owner War Address <br />Tenant <br />ADT LLC <br />EkKtrical Ccrtractor <br />Mail Address <br />Everett, WA 98201 <br />--: State z p <br />Oy Statelzip <br />11824 NORTHCREEK PKVJY N BOTHELL, WA 98011 <br />N%4 Address City S:wer"' <br />ADTLLL*881 DO <br />State License rl umber <br />Commercial <br />Proposed Use of Building <br />4252592800 <br />Phone <br />Phone <br />206-774-9499 <br />Phone <br />$399.00 <br />Contract Pnce of Work <br />jennifer@nwpermit.com <br />Contact Person (Plan Review) <br />Description of Work to Be Done <br />Replace existing low voltage security system, panel S keypad, connect to existing devices, add <br />devices WITH ONE CONTROL AND SIX DEVICES. <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE, 5o co <br />✓ <br />CI T Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify fhat I have read and ewmined this application and know the same to be true and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction, That I am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18 27 RCW and <br />296 200 WAC <br />Jennifer Burgess - 03/04/2013 <br />ennwnn+ua •. <br />Signature raiP <br />