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To: E Page 2 of 3 2015-11-05 23:52:37 (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 /> j 425-257-8810 - FAX 425-257-8857—www.everettwa.arg <br /> I <br /> I <br /> I <br /> 1327 112TH ST SE STE Al <br /> PROJECT ADDRESS <br /> ALLSTATE 1327 112TH ST SE STE Al EVERETT 98208 425-337-4646 <br /> I <br /> I <br /> Owner Mail Address City State/'zip Phone <br /> ALLSTATE 1327 112TH ST SE STE Al EVERETT WA 9820842.5-337-4646 <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 /> I Electrical i�ontra^tor~-_-...._.._______.._-- Mail Address City..... <br /> State/Zip Phone <br /> ADTLLL*881 DO 050955 <br /> I _ <br /> State License Number{required) City of Everett Business License Number(required) <br /> it <br /> Commercial 100 <br /> Proposed Use of Building Contract Price of Work <br /> i <br /> JENNIFER COVELLO 20&-774-9499 JENNIFER(gNWPERMIT.COM <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> j 1 control/ 3 devices <br /> Number of devices(if low voltage) <br /> LOW VOLT SECURITY SYSTEM <br /> I <br /> Description of Work to Be Done: <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I <br /> I 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# I <br /> violate or cancel the provisions of any other state or local law regulating construction or the I D� <br /> performance of construction, That I am authorized by the owner of this property to perform the t <br /> work for which applicationis made and/comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC. <br /> I o� pcproa oy� r rcc u <br /> Jennifer Covello'°" °�w=� , "° m<-�' 11 /05/2015 <br /> emu.zo�ca.oc�r.+acoroo <br /> Signature Date <br /> I <br /> i <br /> � RevisEn 00;06;2 01� <br />