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To !. F�ag�� .� o' 7 ::�t•:�Od��5 71 aC 15 (GMl) 79984000383 Prom� Dehoran ShicWs <br /> —____ _. e - ._•____._ —._ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMlT SERVICES <br /> 3200 CEDAR STREET, EVERETT. WA 96201 <br /> 425-?57-8810 - FAX 425•257-8857 —www everettwa org <br /> 8630 Evergreen Way Ste A <br /> PROJECT ADORESS <br /> Comfy Furniture =�=65,»E���,�°�°�:,�5,°^F°°��°F Everett WA 98208 �.25-3�4•6229 <br /> OwnCf t.tad AdEress Gly State�Zip P�one <br /> Comfy F�irniture $630 Evergreen Way Ste A EVerett WA 98208 nz5-344-6229 <br /> Tenant f.lail ACErc,s Cdy Statc/Zip Phone <br /> ADT LLC ��824 NORTHCREEK PKWY N gOTHELL, WA 98201 206-774-9499 <br /> Electncat Coniracror h�ad adaress City State2ip Pnone <br /> ADTLLL*881 DO 99.00 <br /> � <br /> State License �dumber Contract Pnce of VvorF, ; <br /> COmmerClal jennifer@nwpermit.com <br /> Proposetl Use of Build�ng Contact Person (Plan Review) <br /> Square Footage Qf residential new tonstruc;ion, remodel or addrtion) I <br /> 1 Control/ 3 Devices � <br /> Number of dev�ces Qt low volt..�e) <br /> Descnpt�on ot Worh to E3e Done I nstall new security system � <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � S V`-' <br /> � <br /> ' l horeGy cer6/y fhaf I ht+ve read and examined fhis application and kno�v fha same(o bo(nre and <br /> correr,! All provisions o/laws and ardmancos govommg(his type�f work will bo completed <br /> whefhcrspecdad horein or rrat Tbe giun(ing ol a permif doos not presume to 9ive aulhonly lo P[RPIITtJ <br /> violafe or cancel(he prowsions ol any ofhm s�ate o�local la�v regulafing consfrucliort or the <br /> perfonnance ol construction That I am au7honzed by the o�mer o/lhis property to peAorm Ih� E �j�p g � �O� <br /> work lont�hich applicafion is made and I comply wilh fhe Sfafe Conbaclors Laiv 78.27 RCW and <br /> 296 200 WAC <br /> Ql Y.19wt1 len'v i.e.�:f <br /> ,lennifer Covello d�"•�'"`"°P"' „'�'." 08/04/2014 <br /> �R9m�nr�n��nY• <br /> n+f4+n <br /> o:�an.o�n ionw�<ri:, <br /> Signature Date <br /> I �'c"l�rccpxrTr7 . <br />