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� { ,i <br /> ELECTRICAL PERMIT APPLIGATION <br /> CITY OF EVERETT PERMIT SERVICES �al�,�� k <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—vnw�.everettwa.org G���Z ..�(�jj� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 8500 Evergreen Way <br /> PROJECTADDRESS <br /> Bank of AmeriCa 8500 Evergreen Way Everett, WA 98208 425.355.1177 <br /> Ownef Mail Address City StatelZip Phone <br /> Tenant Mail Address Clty StatMZip Phone <br /> ADT 11824 NORTHCREEK PKWY N gOTHELL, WA 98011 206-774-9499 <br /> Electrical GOntraCtof Mail Address (7ty State2ip Phone <br /> ADTSES103205 $10000.00 <br /> State License Number Contract Price of Work <br /> commerCial jennifer@nwpermit.com <br /> Proposed Use of Building Contac[Person (Plan Revicv.� <br /> Description of Work to Be Done� <br /> Installing 7 Cameras for CCTV system. <br /> NOTE: WIRING IN NON-DWEL�INGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> 50 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> 1 here6y certily that I have read and examined thls application and know the same to be Vue and � I � I��l�, <br /> carec( All piovisions ollaws and wdmances goveming th�s rype of work will be completed <br /> �vhether specd�ed herein a not The gran�ing oI a permit does not presume to give authorrty fo <br /> vblate orcar:c=i 11�e provisions oI any ofher state or localla�v iegulab'ng consVuctan or lhe <br /> peiformance o/consVuctron. That I am au�haized_6y the o�vner ol this properry to perlorm the <br /> �vmk lor which applicafan is matle and I cvmpy wrth the State Contracrors Law 18.27 RCW and <br /> 296200 WAC. <br /> W�M1W'~�wr�;u_.xM�rx�YrN�.�W�i�x i <br /> Jennifer Burgess � x-;;,�,;,;,,wA �-• " 12/28/2011 <br /> ignaNre �e <br />