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(_ <br /> ELECTRICAL RERMIT APPLICATION <br /> CITY OF EVERETT QERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—w�vw.evereriwa.org <br /> APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM <br /> 8701 Evergreen Way Suite C <br /> PROJECTADDRESS <br /> EDSON WALTER A & BARBARA E PO BOX 82373, KENMORE, WA 98028 <br /> Owner Meil Address Ciry StalelZip Phone <br /> Battery Systems 2065508580 <br /> Tenant Meil Address ��b �01e2iP Ph0�0 <br /> ADT LLC 11824 N CREEK PKWY N, SUITE #105 BOTHELL WA 98011 360-945-2787 <br /> Electrical Contractor Mail Address City Stele2ip Phme <br /> ADTLLL*881 DO 149.00 <br /> State License Number Contract Price of Work <br /> Commercial Jennifer Burgess (Agent) <br /> Proposed Use of Building Conlact Person (Plan Re��iew) <br /> oes«�Pt�o�of Wo�k�o Be oo�e: Add device to existing low voltage security system <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �O� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l hereby certily that I have read antl examined thls applkatlon andY,now the same to be Vue and � r ^ r�J 1 ' p� <br /> co�rect. Al/provisions of laws and ordlnances governrng this type ef work wlll be completed ( G� �`t• � <br /> wherherspecdied herein or noL The granting o1 a permrt does not presume ro glve authonry to <br /> vio/ate or cancel the provisions of any oiher state or/ocal la�v regula6'ng consVuchon or the <br /> perlormance of consVuction. That I am authorrzed by the owner ol this properry to peAorm the <br /> worK forwhich application is made antll comply with the State Con�actors Law 1827 RCW and <br /> 296.200 WAC. <br /> Piv^pw�N T'lm+h��umn� <br /> px�c..-e.Mn..�mcnie-xroxnrsiouwn 10/05/2012 <br /> JenniferBurgess ,��,.���.u��^���°��^-�� <br /> wo-bi�+aait�..e+uaa <br /> igne ure a e <br /> I <br /> - J <br />