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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR, STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—wvW✓.everettwa.org <br />APPLICATIONS ARE A!:CEPTED FROM 8 AM TO 4 PM <br />�11n5- Ian <br />9505 19th Ave SE, # 106 <br />PROJECT ADDRESS <br />LAKESIDE OFFICE LLC 9505 19th Ave SE, # 106 Everett WA / 98208 425-337-3174 <br />Owner Mail Address City Stale/Zip Phone <br />Wetland Resources 9505 19th Ave SE, # 106 Everett WA / 98208 425-337-3174 <br />Tenant Mail Address City State/Zip Phone <br />ADT SECURITY SERVICES INC. 11824 N CREEK PKWY N, SUITE 41U5 BOT14ELL WA 98011 350-945-2i17 <br />Electrical Contractor Mail Address City Stale2ip Phone <br />ADTSES103205 $250.00 <br />State License Number Contract Price of Work <br />506 Coml Condo --Services William 360-945-2787 <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done. Add on to existing security system <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that / have read and examined this application and know the same to be true and C 2� <br />correct All provisions of laws and ordinances governing this type of work will be completed L 11 U5- i <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel :he rovisions of any other state cr local law regulating construction or the <br />performance o1 construction. That 1 am authcrized by the owner of hil properlyto perform the <br />work or which application is made and 1 comply with the State Contractors Law 1827 RCW and <br />296.200 V✓AC. <br />bgully sig,ed by N511um MdIlnlLn <br />a1: c n-K516am Mlllnll,q a-N WTenn;, <br />William Millhollin w,ema,Iw;Illam3nwpemJuom.r=�5 0 5/ 2 3, 2 O l l <br />W le: 2311.05231 M53 V Oa <br />Signature gate --- <br />