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To: E Page 1 of 2 2015-11-24 05:28:30 (GMT) 18884000383 From: Deborah Shields <br /> -- _......_ ..............- �- <br /> ; ----- <br /> ELECTRICAL PER IT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—vwvw.everettvva.org <br /> i <br /> i <br /> i <br /> 10121 Evergreen Way Ste 11 <br /> g Y i <br /> PROJECT ADDRESS <br /> GandyS Barbershop 10121 Evergreen Way Ste 11 EVERETT 98204 425-510-6748 <br /> Owner Mail Address City State/Zip Phone <br /> Gandys Barbershop 10121 Evergreen Way Ste 11 EVERETT WA 98204425-610-6748 � <br /> Tenant"� Mail Address City State/Zip �j Phone <br /> ADT LLC 11824NORTHCREEKPKvvyN#105 BQTHELL, VS9C701 1 2 "774-9499 <br /> Electrical Contractor Mail Address City State/Zip Phone I{ <br /> ADTLLL*881 DO 050055 <br /> State Li;:ense Number(required) City of Everett Business License Number(required) <br /> i <br /> Commercial 300.00 I <br /> Proposed Use of Building Contract Price of Work <br /> i <br /> JENNIFER COVELLO06-7 i4-9495 JENNIFERgNWPERMIT.CUM I <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 1 control/ 5 devices <br /> Number of devices Of law voltage) <br /> LOW VOLT SECURITY SYSTEM <br /> i <br /> Description of Work to Be Done: <br /> i <br /> i <br /> i <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 r <br /> I hereby certify that l 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 <br /> performance of construction. That/am authorized by the owner of this property to perform the <br /> work for which application is made and l comply with the State Contractors Law 98.27 RCW and E ✓l lJ <br /> i <br /> 296.200 WAC. <br /> L yr i iyn c G J r 1112 3/2015 <br /> Jennifer Covello'; N,-t? mr' ` <br /> 1 AL-.. <br /> Signature Date <br /> I <br /> aEVIS anoo;ns;2oie <br />