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To: E Page 3 of 3 2015-10-05 23:49:33(GMT) 18884000383 From: Deborah Shields <br /> • • <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 /> 8407 EVERGREEN WAY STE 105 <br /> PROJECT ADDRESS Q Q <br /> LOS GUERREROS 2 8407 EVERGREEN WAY STE 105 EVERETT 98208 425-212-9512 <br /> Owner Mail Address City State/Zip Phone <br /> LOS GUERREROS 2 8407 EVERGREEN WAY STE 105 EVERETT WA 98208 425-212-9512 <br /> Tenant/� Mail Address City State/Zip Phone <br /> ADT LLC 11824 NORTHCREEK PKWY N#105 BOTHE LL, 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 208-774-9499 JENNIFER©NWPERMIT.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 /> Description of Work to Be Done: Low volt security system <br /> FEE <br /> j CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I6 fly <br /> 1 hereby certify that I have read and examined this application and know the same to be true and lJ <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 law regulating construction or the <br /> performance of construction, That I am authorized by the owner of this property to perform the E e(5 I©- 0 <br /> work for which application is made and!comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. J( <br /> ,Z,:yol0noaey JOnneor'3,:Ceoolro 1 0/05/201 5 <br /> Jennifer Covello'Dr1:cn•JennCcr Cnvelie,o.Nerthwest F'ern,8 I <br /> Mc„nu.ental-�cnnMcr�nwpc itnitcnm,emus <br /> Dm:2015.08.0G 12,1:16-07170' <br /> Signature Date <br /> REVISED 06/06/2014 <br />