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To: E Page 1 of 2 2015-08-07 20:30:03(GMT) 18884000383 From: Deborah Shields <br /> r _........ .............�.. <br /> i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> j 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 221 SE Everett Mail Way Ste M <br /> PROJECT ADDRESS <br /> Signarama Everett 221 SE Everett Mall Way Ste M EVERETT 98208 425-353-4173 <br /> Owner Mail Address city State/Zip Phone <br /> Signarama Everett 221 SE Everett Mall Way Ste M EVERETT WA 98208 425-353-4173 <br /> iTenant Mail Address City State/Zip Phone <br /> ADT LLC 11824 NORTHCREEK PKWY N#105 g OTH E LL, WA 98011 206-7 74-9499 <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 /> i Commercial 431 .00 <br /> Proposed Use of Building Contract Price of Work <br /> JENNIFER COVELLO 206-774-9499 JENNIFERCNwPERMIT.COM <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 1 Control/ 5 devices <br /> iNumber of devices(If low voltage) <br /> low volt security <br /> Description of Work to Be Done: <br /> i <br /> i FEE <br /> Igo no <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 <br /> correct. All provisions of taws 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 la w regulating construction or the �� ��� <br /> performance of construction. That I am authorized by the owner of this property to perform the t E <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> .OIOi:alty cgnotl Dy JonnMcr Covell° <br /> Jennifer Covello °" "°^^�°'�vp9p°�"°^^� °r 08/07/2015 <br /> inc,°u,°mcwwnnYcrt��nwpc rmflc°m,c�WS <br /> 0=20UM.06 72:17:10-07'00' <br /> Signature Date <br /> REVISED 00AMW 14 <br />