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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />STREET EVERETT WA98201 <br />3200CEDAR <br />425-257-8010 - FAX 425-257-8857 — www.everettwa.org � _ � — � ( <br />APPLICATIONS ARE ACCEPTED FHOM 8 AM TO 4 PM ��) Q(+ "Iy3 <br />830 80th St <br />PROJECT ADDRESS <br />COV[WOOD MANOR LLC 2310 130TH AVE N[ ST[ Q-103 DELLEVUE <br />Owner Atoil Addre��, C�ty <br />Valve and Flow 830 80th St EVERETT WA/98005 <br />Tenant h1a�', Address Gty <br />AC1T SECURITY S[RVICES INC 1111: i N CREEK PhWY N, SUITE u105 60i4ELL <br />[lectrical COMractor Rtail Address <br />ADTSES103205 <br />State License IJumber <br />699 Other Miscellaneous Services NEC <br />Proposed Use ol Bwlding <br />Ciry <br />VVN98005 <br />Stete2.p Fhone <br />425-402-3357 <br />Slete/Zip Phme <br />WA 9tt011 <br />Stete/Zip <br />360-945�2707 <br />$514 <br />Contract P•ice of WorA <br />William 360-945-2787 <br />ContactPerson (PlanReview) <br />Phme <br />Descrip6on of WorA lo Be Done �nstallation of Low Voltage Socurity, CCTV and Access control equipment <br />Ilr�Tf: WIRING IN NON-DWELLINGS IS RE�UiRED TO f-EE � <br />[3E IPl RACEWAVS, MJ OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br />I r,ereDy certdy fhat I have �ead antl eiammed:�.�s apphcat�on and Anow the same to De t�ue and <br />c�.-.�rec; All p�ov�srons olla�vs and ortlinanres go: e�nmg thrs rype o/worA n•nlbe completetl �-� I �)�-J I � ) <br />��. r;�vier specdred nerern or not. The granung ol a permR does not �v�esume to g�ve authonty !o f� <br />� n�;,te er cancel the prowsans o! any other state or local la�v regu/atmg construct�on or the <br />p�vlerrnance o! construc6on That I am authareJ by �he o�vner o! m�s propei7y ro perUrm ttie <br />neie lor r�luch appl�cabon w matle and I compry wrth fhe State Con6actors Law 78 21 RCW antl <br />19ti �Ou WAC <br />�G..r.tl�h.� � �_.. <br />William h�illhollin .' " . <br />. ��.^�`� (14 /�R f 7f11 l <br />�nqnnlure 3 P <br />