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To: E Page 1 of 4 2016-02-11 16:19:31 (GMT) 18884000383 From: Deborah Shields <br /> .-. -................. 0.-- --- _ _ --- -- ---- <br /> ELECTRICAL <br /> ---ELIETRIC L PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, SNA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wvwv.everettwet.org <br /> 2118 BROADWAY <br /> PROJECT ADDRESS <br /> APOLLOS BIRD STORE 2118 BROADWAY EVERETT 98201 425.259-4200 <br /> Owner Mail address City state/Zip Phone <br /> 425-259-4200� APQLLOS BIRD STORE 2118 BROADWAY EVERETT WA 9820'1 � <br /> Tenant i Mail Address City t n <br /> statelZip Phone <br /> ADT LLC 11824NORTHCREEKPKWY N#1o5 BOTHELL, 1��A 98011 206-774-9499 <br /> j Electrical Contractor Rf-.ail Address City State/Zip Phone <br /> ADTLLL*881 DO 050955 <br /> State License Number(required) City of Everett Business License Number(required) � <br /> � CoCT'if'TterClcil 100 <br /> Proposed Use of Building Contract Price of Work i <br /> JENNIFER COVELLO 20&-774-9499 JENNIFER@NWPERM1T.00M <br /> Square Footage(If residential new construction, remodel or addition; Contact Person/Contact Number/Email <br /> i <br /> 1 device <br /> Number of devices(If low voltage) <br /> ADDING TO EXISTING LOW VOLT SECURITY SYSTEM <br /> Description of Work to Be Done: <br /> __.._—_._...._..______...... <br /> ___ _. <br /> i <br /> i <br /> i <br /> _..__......... <br /> i <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 l� <br /> 1 hereby certify that l 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 /> i <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of this property to perform the E 6&OZ_CO2— <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br /> i <br /> 296.200 WAC. <br /> LivaIcqt syn ctr ���12f2�� �.l <br /> Jenliifer Covello' °"° '°.^°., °,4� �" <br /> Calx:20IJ„)..0.12 41:to%'�u)' <br /> Signature Date <br /> REVISED 00;0e;201e <br />