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To: E Page 1 of 2 2015-06-17 21:56:34(GMT) 18884000383 From: Deborah Shields <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 /> 9424 Evergreen Way <br /> PROJECT ADDRESS <br /> Meineke Car Care 9424 Evergreen Way EVERETT WA 98204 707-344-7031 <br /> Owner Mail Address City State/Zip Phone <br /> Meineke Car Care 9424 Evergreen Way EVERETT WA 98204 707-344-7031 <br /> Tenant Mail Address City State/Zip Phone <br /> ADT LLC 11824 NORTHCREEK PKWY N#105 BOTH E L L, 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 /> Commercial 429.00 <br /> Proposed Use of Building Contract Price of Work <br /> JENNIFER COVELLO 206-774-9499 JENNIFERLNWPERMIT.COM <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 1 Control! 7 devices <br /> Number of devices(If low voltage) <br /> Low volt security install <br /> Description of Work to Be Done: <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 15 ®0- <br /> I hereby certify that I have read and examined this application and know the same to be true and <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 I r © f f <br /> performance of construction. That lam authorized by the owner of this property to perform the E tt1,J� r` I <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Og2rlystoned GyJrnnYorCcvoib <br /> Jennifer Covello <br /> m <br /> 06/17/2015 <br /> Oma:2076.06.02 13:241:20-ono' <br /> Signature Date <br /> REVISED 08/06/2014 <br />