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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA98201 <br />425-257-8810 - FAX425-257-8857—vrvuvd.everettwa.org E12zii _//�/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1 <br />406 SE Everett Mall Way <br />PROJECT ADDRESS <br />NW NI Autc Repairs and Service Same as site Everett, WA 98208 425-355-5969 <br />Owner Mail Address City StalelZip Phone <br />SAME AS SITE <br />Tenant Mail Address City State/Zip Phone <br />ADT 11824 NORTHCREEK PKWY N BOTHELL, WA 98011 206-774-9499 <br />Electrical Contractor Mail Address City Slate/Zip Phone <br />ADTSES103205 $59.00 I <br />State License Number Contract Price of Work <br />Commercial jennifer@nwpermit.com <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Vvork to Be Done: <br />ACTIVATE EXISTING BURGLAR ALARM SYSTEM AND ADD ONE DEVICE <br />NOTE: WIRING IN VON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. co <br />5 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that i have read and examined this application and know the same to be true and 12O <br />carecC All provisions of laws and ordinances governing this type of work will be completed '71 <br />whether specified herein or not. The granting of a permd does not presume to give authority to <br />violate or cancel the provision: of any other state or local law reguialing construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 16.27 <br />RCW and <br />296.200 WAG. <br />Jennifer Burgess wWx,,,;;;;rw 01/27/2012 <br />ignature Date <br />