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To: E Page 2 of 2 2016-02-26 14:08:58 (GMT) 18884000383 Frorn: Deborah Shields <br /> ........... .....................---------- <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 /> 3211 BROADWAY <br /> PROJECT ADDRESS <br /> ELECTRONIC CIGARETTES LLC25-374-8310 <br /> 3211 BROADWAY EVERETT 98201 4 <br /> Owner Mail Address City State/Zip Phone <br /> ELECTRONIC CIGARETTES LLC3211 BROADWAY EVERETT WA 98201 425-374-8310 <br /> Tenant Mail Address City 8tatelZip PhoneA <br /> 1 DT LLC 11824 NORTHCREEK PKWY N 41o5 BOTHELL, WA 98011 206-7 74-9499 <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 <br /> Contract Price of Work <br /> JENNIFER COVELL 0 206-774-9499,IENNIFER(?PNWPERMII.COM <br /> Square Footage (It residential new construction, remodel or addition) Contact Person!Contact Number/Email <br /> 1 Control/ 3 devices <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: LOW VOLT SECURITY SYSTEM <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !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 he completed <br /> whether specified herein or not.. The granting of a permit does not presume to give authority to PERMrT# <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 0 <br /> work for which application is made and i comply with the State Contractors Law 18.27 RCW and <br /> 296,200 WAC. <br /> Clgft.- Vg-d by rcr C-vir. <br /> 02/26/2016 <br /> D <br /> Jennifer Covello' <br /> Signature Dale <br /> REVISED 0611A12014 <br />