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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ;t200 CEDAR S?REET, EVERETT, �NA 98201 <br /> 425-257-8810 - FAX 425-257-8857—v�.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br /> 10117 Evergreen Way <br /> PROJECT ADDRESS <br /> 7-11 10117 Evergreen Way Everett WA, 98204 <br /> Ov.ner Mail Adtlress Ciry StatelLip Phone <br /> Tenant MadAddress Qry SWtelZip Phone <br /> ivcOrviecktit[Osecuwrr��_c 1182qNORTHCREEKPKWYN gOTHELL, WA 98011 206-774-9499 <br /> EleclncalContraQOr PdailAtldress Clry St�te2ip Phone <br /> TYCOI IS88600 $479.00 <br /> State License�dumber Coniract Price ol WorY. <br /> Commercial jennifer@nwpermit.com <br /> Proposed Use of Bwltlina Contact Person (Plan Revieai) <br /> �escription of Work to Be Done� <br /> Scope of work is to install burglar alarm system (1) panel and three hold ups. <br /> � t3ol - �( 2 <br /> I IOTE WIRING IN PlO1J-DWELLINGS IS REQUIRED TO F[C <br /> BE IM RACEWAYS, MC OR AC CABLE. <br /> -�jD O C� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify�hat I have ieatl and examined this appLcation antl hrav the same to De t�ue and <br /> crnrecC All provisions ollaws and ordmances govem�r.g this typa ol woik �vdl be completed <br /> whe�her speciLed he�ein or no[ The granling ol a permq does not presume to gNa au(horRy to <br /> vro:a7e or cancel the p�ovisions oJ any other sta!e or locallaw regu/a6ng consvuction or the <br /> perlormance of construciron. That 1 am autl�onzed by the owner o(this properry to pe�lorm the <br /> wak Ier whrch appDcation �s marle antl 1 comply wrth the S(ale Contractors Law 1827 RCW and <br /> 296.200 WAC. <br /> Jennifer Burgess �'�: „ .� • •��•� 01/03/2013 <br /> W:�;;,r:�; <br /> ignature ate <br />