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( � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES Ip6�rz <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3/ �,a�/, <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.org C��3 7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 8500 Evergreen Way <br /> PROJECTADDRESS <br /> Bank Of America same as project address EVERETT, WA 98208 425-355-1177 <br /> Ownef Mail Address Ciy StalelLip Phone <br /> SAME AS SITE <br /> Tenant MeilAtldress qry StetelZip Phone <br /> ADT 17824 NORTHCREEK PKWY N gOTHELL, WA 98011 206-774-9499 <br /> Electrical Contractor Mail Address C1N Stale2ip Phone <br /> ADTSES103205 14000.00 <br /> State License Number Contract Price ol Work <br /> Commercial jennifer@nwpermit.com <br /> Proposed Use oi Building Contact Person (Plan I�eview) <br /> Description of Work ro Be Done: <br /> Replace the existing DVR with a new unit <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � � /-� C�V <br /> U <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y ceRiJy that I have reatl and ezamined fh/s application and know the same to be Vue and � I ZCj j ` �Z� <br /> carect. Al�prw�sions ollaws and ordinances goveming th�s rype ol�ti wk wifl be completed <br /> �xhether specd�ed herein or not The granting oI a permit does not presume to gNe aufhorRy to <br /> violate a cancel the provisions oJ any other state or loca!law regulavng consVuctan w the <br /> perlormance ol consvudlon. That I am authorized by 1he owner ol�his properry to perform the <br /> �vak lor whidi application is matle and I comply with the State Contracrors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Jennifer Bur ess ���~������ �• 03/06/2012 <br /> 9 ....�,..�.,w.w.._._.�,..,,, <br /> ��..,. � <br /> „�,�.�;�m.�. <br /> Signature �e <br />