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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—wvvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ('-"y-1 Z <br />�;lza6-o53 <br />616 32nd St #14 <br />PROJECT ADDRESS <br />WETMORE & 32ND LLC PO BOX 1193, EVERETT, WA 98206 <br />Owner <br />Mail Address City <br />State/tip <br />"I'll <br />Acupunture <br />Resources LLC Everett <br />WA 98201 <br />4253033364 <br />Tenant <br />Mail Address City <br />State/Zip <br />Phone <br />ADT SECURITY SERVICES <br />INC. 11824 N CREEK PKWY N, SUITE 4105 BOTHELL <br />WA 91?011 <br />360-945-2787 <br />Electrical Contractor <br />ADTSES103205 <br />State License <br />Commercial <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Mail Address <br />City <br />199.00 <br />Contract Price of Work <br />Jennifer Burgess (Agent) <br />Contact Person (Plan Review) <br />Install low voltage security system with one control and five devices <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined 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 />oerformance of construction. That / am authorized by the owner of this property to perform the <br />`work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />rnu a+m M".nheuian, <br />Jennifer Burgess :ate. .411',,.,uw, ^1­r^^-°— 06/08/2012 <br />c� numm,.va mw <br />Signature ate <br />FEE <br />E cx'- c)5'a <br />