Laserfiche WebLink
To: E Page 1 of 2 2015-05-20 23:46:18 (GMT) 18884000383 From: Deborah Shields <br /> -- -- -- - --- --- -_ <br /> - --ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 08201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> I <br /> i <br /> 10305 19th Ave SE <br /> I <br /> I <br /> PROJECT ADDRESS <br /> I <br /> Waterside Group 10305 19th Ave SE EVERETT WA 98208 <br /> Owner �uftn Ck'IYV„„ pQaji$Kltss City State/Zip Phone <br /> Waterside Group 10305 19th Ave SE EVERETT WA 98208 206-501-6639 <br /> I <br /> Tenant Mail Address City State/Zip Phone <br /> ADT LLC 11824 NORTHCREEK PKWY N#105 g OT H E L L, WA 98011 206.7 74-9499 <br /> Electrical Contractor Mail Address City -- State/Zip Phone <br /> j ADTLLL*881 DO 050955 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $1660.00 <br /> Proposed Use of Building Contract Price of Work <br /> JENNIFER COVELLO 206-774-9499 JENNIFER(gNWPERMIT.COM <br /> I <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 1 Control/9 devices <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: CCTV Security System <br /> I - <br /> i <br /> I <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 00 <br /> 1 hereby certify that!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�� - �lQ <br /> performance of construction, That I am authorized by the owner of this property to perform the t V <br /> work for which application is made and/comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC. <br /> o9r ,6��do �e �o,o05/20/2015 <br /> Jennifer Covello D":c - _,C:va:,,-No„�..•:=tN-ft <br /> tnc,ou.croshjcmYc 1:37-crml�.cam,c—uo <br /> Dum::01u Ca,17 t&^.4:37-07'00' <br /> I <br /> Signature Date <br /> REVISED 08:06/2014 <br />