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To: E Page 2 of 2 2015-11-25 21:14:54(GMT) 18884000383 From: Deborah Shields <br /> 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 /> 3710 BROADWAY STE 108 <br /> PROJECT ADDRESS <br /> SEATTLE SUN TAN 3710 BROADWAY STE 108 E V ER.ETT 98201 425-317-8225 <br /> Owner Mail Address City State/Zip Phone <br /> SEATTLE SUN TAN 3710 BROADWAY STE 108 EVERETT WA 98201 425-317-8225 <br /> Tenant Mail Address City State/Zip Phone <br /> ADT LLC 11824 NORTHCREEKPKWYN#105 SOTHELL, WA 98011 206-774-9499 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> ADTLLL*881 Do 050955 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial 200 <br /> Proposed Use of Building Contract Price of Work <br /> j - <br /> JENNIFER COVELLO206-774••9499JENNIEERt NWPERMIT.COM <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> I 1 control/ 5 devices <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: LOVOLT SECURITY SYSTEM <br /> FEE <br /> � 5 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> 1 hereby certify that 1 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 <br /> cal law regulatingconstru tioor the I _ o�^ <br /> performance of construction. That 1 am authorized bythe owner of this property to perform theE ( <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Ltigha:ly c,.Jnod by JOrnt`:r Ccvalla 11/25/2015 <br /> Jennifer CeVellc,.�UN:cnroJonnd'cr Cc�orc,eallori'nsna:Pamh <br /> 1 i�f[ II �./Y�s trc,o�•omvl•gcrn2,1:1$-OrCV nl,c-IiS <br /> bu:c::UiG.CB.00 1::.i:f u-07'd✓' <br /> Signature Date <br /> REVISED 08/01//21;14 <br />