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ELEC`I'RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />2013 19TH ST <br />PROJECTADDRESS <br />IB BOUTIQUE <br />Owner <br />Tenant <br />ADT <br />clectrical Contractor <br />3200 CEDAR STREET, EVERETT, WA 98201 f_`3.. /2� <br />425-257-8810 - FAX425-257-8857—vrww.everettwa.org <br />LcI?A i�0� <br />APPLICATION:i ARE ACCEPTED FROM 8 AM TO 4 PM <br />2013 19TH ST <br />Mail Address <br />Mail Address <br />Everett, <br />City <br />Qty <br />11824 NORTHCREEK PKWY N gOTHELL, <br />ADTSES103205 <br />State License I��lumber <br />commercial <br />Proposed Use of Building <br />Mail Address <br />Description of Workto Be Done�. <br />IiJTRUSION ALARM INSI�ALLAI-ION <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 />C1tY <br />WA 98203 <br />Stale2iP <br />StatelZip <br />WA 98011 <br />State2ip <br />$50.00 <br />Contract Price of Work <br />4253031810 <br />Phone <br />Phone <br />206-774-9499 <br />Phcne <br />jennifer@nwpermit.com <br />Contacc Person (Plan Review) <br />I he�eby certi/y lhat I have read antl ecamieed this application antl hno�v the same ro he Vue and <br />carec(. All provisions o7laws and ord�r,ances govemmg (his type of work aill be completed <br />�vhether specilied herein or not The granting o� a permit does notPresume ro give authorr,y to <br />vrolate or cancel the prov�sions ol any other s7ate or� local laai regu ating construction cr the <br />pc�fonnance o/consbudiun. That / am autlwri�erl by 1he owner eI thrs propert}� to perlorm the <br />�vak �or which applicat�on is matle and I comply wrth (he State ConVactors La�v 78.2i RCW and <br />296.200 INAC. <br />J�nnifer Burgess y. , ,-, , - •" "`�'""` 01/03/2012 <br />�ignat ae ate <br />FEE <br />Cla�� � ov� <br />