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( <br /> ELEC i�RICAL PERMIT APpLICATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—vw�v.everettwa.org 3 _��� 3 <br /> APPLICATIONS ARE AGCEPTED FROM 8 AM TO 4 PM �I 3D3"Q�IS <br /> 5705 Evergreen Way #103 <br /> PROJECTADDRESS <br /> Gomore Real Estate 5705 Evergreen Way #103 Everett, WA 98203 253538355 <br /> Owner <br /> Meil Address Ciry Stele2ip Phone <br /> Tenant <br /> Mail Address Cily Slote2ip Phone <br /> ADT LLC 11824 N CREEK PKWY N, SUITE #105 BOTHELL WA 98011 36�-945-2787 <br /> Electrical Coniractor <br /> Meil Address Cily Slele2ip Phone <br /> ADTLLL*881 DO $100.00 <br /> Sqte License Number Contract Price of Work <br /> Commercial Jennifer Burgess (Ngent) <br /> Proposetl Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> Install low voltage security system with one control and seven devices <br />. <br /> I IOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. r� �� <br /> vJ <br /> GTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this applicafion and know the same !o be true antl �� �O ,,,� O �� <br /> correct. All provisions of laeis and ordinances govemmg this type olwork will be comp/eted <br /> �vhether specdied herein or noi. The grenting o1 a permrt does not presume to give aothonry to / � � <br /> violate or cancel the provisions ol any other siate or local law regu/ating consVuction or ihe <br /> perlormance o1 construclion. That I am authorrzed by tbe owner o!lhis propeRy to perlorm the <br /> work for which application is matle and I compty wiih the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> [y n qrvt^:a N u,r.k.e.a.�� <br /> �„�._�r.,.,...�..,..,M,,..�,,.�.:, 03/6/2013 <br /> Jennifer Burgess ��,�^«r^��,«PN��-,'°�..~�°m' <br /> ��-�,,�,�,��„���, <br /> ignature ate <br />