Laserfiche WebLink
To: E Page 1 of 3 2015-10-19 12:31:41 (GMT) 18884000383 From: Deborah Shields <br /> 0 .___11111 ....... .. --. <br /> ELECTRICAL T 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 /> 909 SE EVERETT MALL WAY STE E540 <br /> PROJECT ADDRESS <br /> THE CAJUN CRAWFISH 909 SE EVERETT MALL WAY STE E540 EVERETT 98208 206-393-8423 <br /> Owner Mail Address City State/Zip Phone <br /> THE CAJUN CRAWFISH 909 SE EVERETT MALL WAY STE E540 EVERETT WA 98208 206-393-8423 <br /> Tenant Mail Address City u 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 200 <br /> Proposed Use of Building Contract Price of Work <br /> JENNIFER COVELLO 206-774-9499 JENNIFER(3tNWPERMIT.COM <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 1 control/ 3 devices <br /> Number of devices(If low voltage) <br /> LOW VOLT SECURITY SYSTEM <br /> Description of Workto Be Done: <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I4n <br /> I hereby certify that I have read and examined this application and know the same to be true and t <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 /> I violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That lam authorized by the owner of this property to perform the E bf 51 0 - J► <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and (/ <br /> 296.200 WAC. <br /> Covello' <br /> v Dig z..)gnotl by JonnYcr Co , 10/19/2015 <br /> Jennifer l,lQ Y p I I QA:DN:en�Jonnc'er Cavolip,o.NorthvC9l F'ofmd <br /> �i u!c,au.omah�cnndcry��nwpermllcnm,a-US <br /> Dam:20154S OG 72:41:76-07'00' <br /> Signature Date <br /> REVISED 05:06/2014 <br />