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ELECTRICAL PERMIT APPLICATION <br />C1TY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA98201 ����(-1Z <br />425-257-8810 - FAX425-257-8857—Nnvw.everettwa.org q <br />E2Dl—�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7825 Everegreen W�y #C <br />PROJECT ADDRESS <br />Quality Rentals Same as site Everett, <br />Owner Mail Atldrz;s City <br />SAME AS SITE _ <br />Tenanl ?Aail AdCress <br />�N <br />ADT 11824NORTHCRE[KPKWYN BOTHELL, <br />EleUncal Contractor Mail Atldress QN <br />ADTSES103205 <br />Slate License Dlumber <br />commercial <br />Proposed Use of Building <br />Description of Work to f3e Done� <br />Install low voltage burglar alarm system. <br />NOTE WIRING 1I�I I�ION-DWELLII�IGS IS REOUIR6D TO <br />f36 IN RACEWAYS, MC OR AC CAf3LE. <br />WA 98203 <br />StateJ7_io <br />StatelZip <br />WA 98011 <br />State2ip <br />2533703108 <br />Phone <br />Phone <br />206-774-9499 <br />Phone <br />$670 <br />ConVacl Price of Work <br />jennifer@nwpermit.com <br />Contacl Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I Hereby ce�ldy lhaf I have read and examined �his applicafion and know the same to be hue and <br />ccriec( All orovisions ol/aws and ordinances govermnp th�s type of wuk vnll Ge comple(ed <br />�vhefher ;pociheU herem or noL The granliny o! a permrt does not resume to gNe aWhorqy to <br />vrolate or r,ance/ the piovisions ol any oU�ei sta�e or local la�v reyuPNng construcfion or the <br />perlormance ol cons(ruciron Thal I am authorized Gy the o�vner o/ Ihrs property fo perlorm fhe <br />wcrk lor which applicafion rs madr, antl ! compty vn(h the State Conhactors Law 10.27 RCW an0 <br />796 200 YVAC. <br />Jennifer Burgess ,,,,,, e1a, -.�� -'�'�'��" 01/23/2012 <br />Sipnature ate <br />FEE � <br />50 <br />�iZ01-07� <br />