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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 2914 McDougal Ave <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> Western Facilities Supply, Inc. P.O. Box 928 Everett WA 98201 425-252-2105 <br /> Tenant Mall Address City State/Zip Phone <br /> Bay Alarm Company 8115 Broadway#101 Everett A 98203 800-470-1000 <br /> Electrical Contractor Mail Address City / State/Zip Phone <br /> BAYALAC876KF 57430 <br /> State License Number(required) verett B,siness License Number(required) <br /> ( <br /> Commercial T45 <br /> Proposed Use of Building Contract Pri - of Work <br /> ar. J. Murray 425-595-3955 <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> sarah.murray@bayalarm.com <br /> 1 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Install fire-rated cellular communicator-DMP CELLCOMSLC-F <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 S 2 . S S <br /> I hereby certify that!have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That l am authorized by the owner of this property to perform the E 1ctr) <br /> work for which application is made and!comply with the State Contractors Law 18.27 RCW and <br /> 296.200 W <br /> Signatu •ate <br /> REVISED 080612014 <br />