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To: E Page 1 of 2 2016-03-24 16:15:50 (GMT) 18884000383 From: Deborah Shields <br /> 0 <br /> ?LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E)everetteps(peverettwa.gov I www.everettwa.gov/perrnits <br /> ........ <br /> 0" <br /> ..........�_ <br /> PROJECT ADDRESS.2610 COLBY AVE STE A <br /> BUILDING AREA(if residential, new construction,remodel,or addition) ._SF <br /> BUILDING TYPE1 ISFR-DETACHED I ._....�FR-ATTACHEDUPLEXj I MULTI-FAMILY-it OF UNITS:, COMMERGIAL <br /> [USE OF BUILDING:COMMERCIAL <br /> E LECTRINCAIL,APPLI CAT[Odf)1AI r 3f�MATIdk., <br /> CONTRACT PRICE OF WORK: $350 <br /> NUMBER OF DEVICES (if low v0jtjqc.):4 DEVICES <br /> FIRE ALARM? El YES_[ INO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: LOW VOLT SECURITY SYSTEM <br /> C <br /> OWNER NAME: FACES BY MARYANNA TENANT NAME(if Commercial):FACES BY MARYANNA <br /> OWNER MAILING ADDRESS: 1111 IT 2610 COLBY AVE STE A <br /> CITY EVERETT STATE WA 98201 <br /> OWNER PHONE:425-280-0180 1OWNER EMAIL: <br /> CONTRACTOR NAME:ADT LLC <br /> CONTRACTOR ADDRESS: ITREET 11824 NORTHOREEK PKWY N #105 <br /> cin BOTHELL STATE WA Zip 98011 <br /> CONTRACTOR PHONE:206-774-9499 1CONTRACTOR EMAIL:JENNIFER.@NWPERMIT.COM <br /> CONTRACTOR LIC.#(REQUIRED):ADTLLL*881 DO ICITY OF EVERETT BUSINESS LIC.#(REQUIRED)050955 <br /> PRIMARY CONTACT: 0OWNER 0 CONTRACT70=RTHER(Please Specify) JENNIFER COVET. OI AGENT <br /> CONTACT NAME: CONTACT HONE:206-774-9499 <br /> JENNIFER COVELLOCONTACTEMAJL:JENNIFER@NWPERMIT.COM <br /> AGREEMENT T hereby certify that/have mad and examined this application and know the sarr*to be true and correct. All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein or not The granting of a pennif does not jum-sume to give authority to violate or carrel the Povisiofts of any other state or <br /> local law regulating constniction or the performance orconstnictim. That I am authorized by(lye owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> Y 41 Digitally signed by Jennifer Covello <br /> Ft <br /> PERMIT# <br /> DN:cn=Jennifer Covello,o,ou, <br /> emai(=jennife,r0r,wperrnrt.c," c=us <br /> 03/24/2016 oao <br /> 1028:Oe-07'00' E 6)103 <br /> Owner/Authorized Agent Signature Dale (Revised 10/12/2015) <br />