9506 19TH AVE SE MARISCOS CULIACAN 2016-09-14

To: E Page 2 of 3 2016-04-11 18:46:20 (GMT) 18884000383 From: Deborah Shields 11LECTRICAL PERMIT AP LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www,everettwa.gov/permits PRQJ�C sit �NF�RMATIfJN:, PROJECT ADDRESS.9506 19TH AVE SE 2ND FLOOR BUILDING AREA(if residential, new construction, remodel,or addition)_ _ SF BUILDING TYPE SFR-DETACHED I FR-ATTACHED UPLEX `MULTI-FAMILY-#OF UNITS: ✓ COMMERCIAL USE OF BUILDING:COMMERCIAL 77777777:4- ELEGTR4CLIPRIGAT�#;?N INF!QRMIgTIQN. CONTRACT PRICE OF WORK: $6000 NUMBER OF DEVICES (if low voltage): 23 (2 control panel and 21 alarm/ccty devices) FIRE ALARM? ❑YES -FY-/- NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: LOW VOLT SECURITY SYSTEM AND CCTV SYSTEM C©AITAGT 1#�IFQRM#T PN OWNER NAME: MARISCOS CULIACAN #2 TENANT NAME(if Commercial):MARISCOS CULIACAN #2 OWNER MAILING ADDRESS: s,,,cr9506 19TH AVE SE 2ND FLOOR CITY EVERETT STATF WA 2� 98208 OWNER PHONE:206-653-6570 OWNER EMAIL: CONTRACTOR NAME:ADT LLC CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 CIT, BOTHELL STATE WA ZV 98011 CONTRACTOR PHONE:206-774-9499 _71CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM CONTRACTOR LIC.#(RFQUIRFn):AD-f LI_L`881 DO CITY OF EVERETT BUSINESS LIC.#(RLQLJIRFP,)Q50955 PRIMARY CONTACT: DOWNER ❑CONTRACTOR THER(Please Specify) JENNIFER COVELLOt AGENT CONTACT NAME: CONTACT PHONE:206-774-9499 JENNIFER CCJVELL4 CONTACT EMAIL:JENNIFER@NWPERMIT.COM A(.3REF-h-fENT:T hereby certify that I have read and examined tills app6calvxl and know the same to be true and correct. NI provisions of laws rind ordinances governing this tyke Of work Wltl be L»lfipte(ed whether speoilied tte,eirr or not. The granting of a perrnit does not presume to give authority to violate or cancel the provisions of any other state or tocW law regulating construction or the pe forrnanrz:of constniction. That I am authofi7ud by the owner of this property to perforrn the work for which application is mado and I compty with the State Cont:actors Law 48.27 RCW and 296.200 WAC. City of Everett Official Us-*Only FEE It DigitallysignedbyJenrufarCovelio PERMIT `s� DN r -JennifFr(.rvello,o,ou; 04,1 J!2^U E� 01-1 wi;,;se.. � t'fernail,lennileN I n/ 1 /5 a w,�nrrnit rxn c--US II ///U U pate 201 1.03 5 0:28:0L' 07,00r Owner/Authorized Agent Signature Date !Revised 10/12/2015)