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ELECTRlCAL PERMIT A�PLIG,ATION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200CEDAR STREET, EVERETT, WA98201 ��`� � /D <br />425-257-8810 - FAX425-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FPOM 8 AM TO 4 PM �I � I I��� <br />9801 19th l�ve SE, Suite B <br />PROJECTADDRESS <br />9801 19ih Ave SE Suite E same as project address EVERETT <br />Ovmer <br />Mail A7dress <br />City <br />WA 98203 a25357-5258 <br />StateJZip Phon<. <br />Biiss Naii Spa sameasprojectaddress same as above <br />Tenant Mait Address Ciry State/Zip Phone <br />ALL POINT SECURE 2712 16TH ST EVERETT WA 98201-2112 253-377-1164 <br />Elechical Conir2ctor Mail Address <br />ALLPOPS923KA <br />State License Number <br />COMMERCIAL-BUSINESS RETAIL <br />Pioposed Use of Building <br />Description of Worrc to Be Done: <br />INSTALL LOW VOLTAGE SECURITY SYSTEM <br />�dGTE: \^!IRING If`I PION-DWELLIfdGS IS REQUIRED TO <br />6E IP1 RACEWAYS, IJIC OR AC CABLE. <br />CITY OF EV'<RETT �OCAL SALES TAX CODE IS 3105 <br />City <br />State2lp <br />374.00 <br />Contract Price of Work <br />415-357-5258 <br />Contact Person (Plan Review) <br />I hen�by ceRify that I have read and examined tlus application and kno�v the same to be t�ue and <br />car'ect. AO p�ovisons o//aws and ordinances governmg this type o/worlc tvill be completed <br />ivhethe� speci/ied herein or noe The granting ot a permrt does not presume to give auihordy to <br />viola!e or cancel the p�ovisions o/ any cther stafe er local law regulating consf�uctron er the <br />pc-rlormance o/consVudion. That l am authoiizeU by the o�vner o( this property to perform the <br />�raF ler �vhich application is made and 1 comply �vrrh the State Contraclors La�v 78.27 RClN antl <br />296200 W'AC. j��i� <br />� i <br />�:`_„ — _ —'i <br />ignature ate <br />i�� <br />FEE <br />����—C�Z� <br />