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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 (� '- "�J —I Z <br />425-257-8810 - FAX425-257-8857—www.everettwa.org LCIZ�b-0� <br />APPLICATIONS 4RE ACCEPTED FROM 8 AM TO 4 PM <br />1730 112th St SW #A <br />PROJECTADDRESS <br />Sage Apartments SAME AS SITE <br />�\N1Bf <br />Sage Apartments <br />tenan� <br />ADT <br />[tectrical Contractor <br />Mail Mdress <br />a���i r,aa�css <br />City <br />Everett, WA 98204 <br />c�ry <br />11824 NORTHCREEK PKWY N gOTHELL, <br />ADTSES103205 <br />SLite License i lumber � <br />Multi-Fam <br />Piuposca Use ol l9udclmG <br />I�ev�nphon of WorF �o F-^ f inn� <br />hlail Address <br />Install low voltayc security sysleni <br />I IC;TF V':II?IPdG It I I It:iW-DWELLU IGF IS RFOUIPED TO <br />Bf IfJ f2AC,FVVAYS, MC GF �i. CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />Ciry <br />Slate�Zip <br />4257659374 <br />sime�z�v <br />WA 98011 <br />StateQip <br />$125.00 <br />Contracl Price of WorV. <br />Phone <br />Fhone <br />206•774•9499 <br />Phme <br />jennifer@nwpermit.com <br />Contact Ferson (Plan Revie��ti) <br />I hereOVi certily thaf I liave �ead antl etammed fhis app6caUon end hnOw fhe same to De huP entl <br />ca�ec( 41l piovrsioris ol /aws and ad�nances governmg this t�pe ol wo�h �vUl he :ompleled <br />�vhether specdred herern a� nof The yrentiny ol a pe�mrt dxs nof presume to grve aufhortty to <br />vrolafe a cancel the provisions ol eny olher state w localla�v regWa✓ng cnnstructan a the <br />per/urmance o/ cnnsnucfron That I am aufhar:ed Dy fhe o�vne� ol th�s properfY fo perlam fhe <br />�rati lor wnich a,,pncatron ls matle and / compfy wrth Ihe Stafe Conhacfo�s La�s 78 27 RCIN ancl <br />; 96 ?0%i 11-4C <br />Jennifer Burgess :'-,-,��:-;;;,-=��" � " " 06/05/2012 <br />�innneo� a!e <br />F[E <br />L I ���- U.3� <br />