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APPLICATiON FOR ELECTRICAL PER�AIT <br />Ii566675 <br />259-01J70 <br />cin or �vrn� <br />UUItDIHG DIVISION <br />320U CmAR STRLET <br />[VrJ2ElT, NA 90201 <br />Jeff $ Lynel Gullidge 2411 lIIth Street Everett, WA 98201 252-9015 <br />••ner M,il Address ily tatc lip Phonc <br />cnant Nail FddreSs Cily �'Statc fip PhonC <br />BRINK HS148 LE <br />Brinks HOme Security 19115 W Valley Hwy iiH106, Kent, WA 98032 251-9727 <br />iectrical Contractor Mail Address �ily taCe ip I'I�one [aCe icense No, <br />$99.00 <br />ontract Price o Wor7 k — <br />2411 18th Street, Everett, idA 98201 <br />ecC ACdress <br />seript�on of 'nbrY To 3e Done: <br />Residence <br />Proposed Usc of (luild�nq <br />Intrusionalarm <br />�ATE: KAC 2?G-4G-140 REOUIfc[S fHRi PV.NS FOR EL[CTRIG�I h'OR�C hl EDUCATIONAL, II:SiIIU'!:�NAL OR HEAITH CA°E FACILITILS <br />BE APrROVED �Y THE STAIE OF WASHINGTON. APPLICANTS WITH :UCH J005 MUST $h;ON' !��1E 5?ATE APPROVED PLh1;S BEFORE � <br />CITY OF [VERETT P[RM!T N'ILL OE ISSUED. <br />'�OTE: WIRIItG IIV NOIJ-DWELLINGS IS REpUIR`cD TO BE IIV CONDUIT. <br />I HERE6Y CERTIFY THAT I Ht.VE REAJ AND� EXAMINED iH15 <br />t.PPLICAT101J AND KNOY! THe SAld[ TO �E TRUc AND CORFECT. ALL <br />PR(IVISIONS OF tAWS AND O:iDINl.NCES GOVERNING TNIS TYPE OF <br />WORK WILI BE COMPIETED wITH WHE7HER SPECIFIED HER[IN OF <br />IJOT. THE GRANTING OF A P[flMIT DOE`•i NOT PFESUME TO GNE <br />AUTHORITY TO VIOLATE OR CANCEL THE PaOVISIONS OF ANY <br />OTNEF STATE OR IOCAL lAW RF:GUTATINCi CONSTRUCTION OR T1iE <br />PERFORM.ANCE OF CONSTRUCTION. THA" I AM AUTHORIZED �Y THF <br />OWNER OF THIS PROPERTY TO PERFOFIM THE WORK FOR Y�HICH <br />APPLICATIOV IS 1dADE- AND I COIdPLY WITH TH[ STAT[ <br />CONTR�CTORS IJ.W 18.27 RC�\' FNO 296.:!00 WAC. <br />X <br />-- ��=C111�_ ' n1��7�� -- <br />SignaCurc Oa;c <br />rEf $30.00 <br />