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To: E Page 1 of 2 2015-11-23 15:12:44 (GMT) 18884000383 From: Deborah Shields <br /> I <br /> ELECTRICAL P M 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 j <br /> I <br /> I <br /> I <br /> 'I <br /> j 2918 HEWITT AVE <br /> I _ <br /> I <br /> PROJECT ADDRESS <br /> CALVARY EVERETT 2918 HEWITT AVE EVERETT 98204 425-322-3606 <br /> I <br /> Owner Mail Address City State/Zip Phone <br /> j CALVARY EVERETT 2918 HEWITT AVE EVERETT WA 98204425-322-3606 <br /> I <br /> Tenant Mail Address City 8tete/Zip Phone <br /> ADT LLC 11824 NORTHCREEK PKWY N#105 g OTH E LL, WA 98011 206-7 74-9499 <br /> � Electrical c.,ontra.,torN._..............._._.__ Mai{Address .cit State/Zip <br /> City /Zip Phone <br /> ADTLLL*881 DO 0_5_0955 <br /> State License <br /> q - } City of <br /> {Number(rewired Everett Business License Number(required) � <br /> Commercial 200 <br /> i <br /> Proposed Use of Building Contract Price of Work <br /> I <br /> j JENNIFER COVELLO 206-774-9499 JENNIFER(t2NWPERMIT.COM <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> I <br /> 1 control/ 5 devices <br /> Number of devices({flow voltage) f{ <br /> Description of Work to Be Dona: <br /> LOW VOLT SECURITY SYSTEM <br /> I <br /> I <br /> I <br /> I <br /> i <br /> i <br /> I <br /> i <br /> FEE i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I <br /> Ihereby 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 <br /> performance of construction. That I am authorized by the owner of this property to perform the E <br /> work for which application is made and i comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC. <br /> 0sisy si„nea et IcNcoJennifer u <br /> 411 /23/2015 <br /> 0—zoMeaoe 1241:15-07,00, <br /> I <br /> Signature Date <br /> I <br /> � RLvrss000,ns;2r�i� <br />