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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMI"f SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 II— � ��`a'> <br /> 425-257-8810 - FAX 425-257-8857—Nnrow.everetlwa.org � �� �_p/� Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 11014 19th Ave SE Suite #16 <br /> PROJECI'ADDRESS <br /> Papa Murphys 11014 19th Ave SE Suite i�16 EVERETT, WA, 98208 425-379-9092 <br /> Owner Mail Address Clry StalrlZip Phone <br /> Pa�a Murphys <br /> Tenant Mall Addrew C1ry StatrlZip Phone <br /> ADT LLC 11824NORTHGREEKPKWYN BOTHELL, WA 98201 206•774-9499 <br /> Electripl Contractor Mail Address Clry Slate/Zip Phme <br /> ADTLLL'�881 DO $1500.00 <br /> Sta!e Licerse Number Contrecl Price of Work <br /> E I E I L jennifer@nwperniit.com <br /> Proposed Use of 6uilding Contar,�person (Plan Rev+�w) <br /> Cexription of Work to Be Done: <br /> CCN System Installation <br /> One control, five devices. <br /> NOTE WIRWG IN NON-DWELLIIVGS IS RFQUIi•,ED TO FEE <br /> EiE IN RACEWAYS, MC OR AC CASLE C n O�'� <br /> 'Jv <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I he�eby certAy fbat I have read and examined fhis application and know the same to be bue antl 1� <br /> carect. All provisions olla�vs and ordinances govemmg thrs type o/work wi116e complefeU �i ( 3( � — 11�_t a <br /> whelher specA�etl herein or not Tne granfing ol a permrt does nol resume to give a uthorrty(o <br /> viola(e or cance/ihe provisions o!any ofhei state or locallaw ieguPabng consvuc7ron or the <br /> pnlormance o!construdion. That 1 am au(horrzetl by the owner ol fhis property to peilorm fhe <br /> wak for which applicatbn is made and I comply wifh the Sta(e Confracfors Law 78.27 RCW and <br /> 296.200 WAC. <br /> Jennifer Burgess . , ,, , , "' " `�"""' 11/15/2013 <br /> ,,w, <br /> igna vc a e <br />