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To: E Page 1 of 2 2015-11-19 20:12:16(GMT) 18884000383 From: Deborah Shields <br /> ELECTRICAL R IT 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 /> 2615 W CASINO RD 5G <br /> PROJECT ADDRESS <br /> ELECTRONIC COATING TECHNOLOGIES 2615 W CASINO RD 50 EVERETT 98204 425-265-2212 <br /> Owner Mail Address City State/Zip Phone <br /> ELECTRONIC COATING TECHNOLOGIES 2615 W CASINO RD 5G EVERETT WA 98204 425-265-2212 <br /> Tenant Mail Address City State/Zip Phone <br /> ADT LLC 11824 NORTHCREEKPKWYN#105 BOTHELL, 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 800 <br /> Proposed Use of Building mm� Contract Price of Work <br /> JENNIFER COVELLO 206-774-9499 JENNIFERINWPERMIT.COM <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 1 control/ 5 devices <br /> Number of devices(If low voltage) <br /> LOW VOLT SECURITY SYSTEM <br /> Description of Work to Be Done: <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 00 <br /> i hereby certify that I have read and examined this application and know the same to be true and <br /> correct. Ail 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 I am authorized by the owner of this property to perform the E J 1 J 11 f 0-? o <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WA C. <br /> Dgfa!1y°p0oa°y Aaa°C°r Cav°r <br /> Jennifer Covello2 "mnc° lwPmm ,7:5 <br /> 11/19/2015 <br /> Dam:201S.C8.OG 72:41:15 <br /> Signature Date <br /> REVISED 00i06/2014 <br />