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12902 19TH AVE SE AMANTE PIZZA & PASTA 2016-09-14
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12902 19TH AVE SE AMANTE PIZZA & PASTA 2016-09-14
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Last modified
9/14/2016 10:50:56 AM
Creation date
9/14/2016 10:50:54 AM
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Address Document
Street Name
19TH AVE SE
Street Number
12902
Tenant Name
AMANTE PIZZA & PASTA
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To: E Page 3 of 3 2015-10-12 21:04:11 (GMT) 18884000383 From: Deborah Shields <br /> i <br /> i <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 /> i <br /> 12902v^TL"!�i' Ir -'�TTr "�; STE D <br /> PROJECT ADDRESS <br /> AMANTE PIZZA & PASTA 12902 BOTHELL EVERETT HWY STE D EVERETT 98208 425-338-5600 <br /> Owner Mail Address City State/Zip Phone <br /> AMANTE PIZZA & PASTA 12902 BOTHELL EVERETT HWY STE D EVERETT WA 98208425-338-5600 <br /> Tenant Mail Address City State/Zip Phone <br /> ADT LLC 11824 NORTHCREEK PKWY N#105 BOTHELL, WA 98011 206-7 74-9499 <br /> --...... <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 /> i Commercial 150 <br /> Proposed Use of Building 9 Contract Price of Work <br /> JENNIFER COVELLO 206-774-9499 JENNIFERCaMNPERMIT.COM <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> i <br /> 1 Control/ 3 devices <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done. LOW VOLT SECURITY SYSTEM <br /> i <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i <br /> 1 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 <br /> performance of construction. That I am authorized by the owner of this property to perform the E S <br /> work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and <br /> 296,200 WAC. <br /> 9,,zti.doy,—�_, __ 10/12/2015 <br /> Jennifer Covello _eC--.,-No�4.�'tP. ,ft <br /> S.08 0 nn8cri1:i o p 7,00,om,cmum <br /> ens:201S.08 00�z viae-oraa <br /> Signature Dale <br /> REVISED 08,106;201d <br />
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