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To: E Page 1 of 3 2016-03-22 15:53:35 (GMT) 18884000383 From: Deborah Shields <br /> ELECTRICAL ICER IT PPI TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257.8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> r• <br /> PROJECT,;i`I" .III�FR1t± : t%.. .. : .'.,: <br /> PROJECT ADDRESS.3615 1/2 EVERETT AVE <br /> BUILDING AREA(if residential, new construction,remodel,or addition),_„_ SF <br /> BUILDING TYPE SFR-DETACHED FR-ATTACHED I UPLEX I MULTI-FAMILY-#OF UNITS: <br /> r--COivMERCiAL <br /> uSE OF BUILDING:COMMERCIAL <br /> ,ELpPTRt ,' APPLICATION INFORMA�'104� <br /> CONTRACT PRICE OF WORK: $300 <br /> NUMBER OF DEVICES (if low volt3ge):2 DEVICES <br /> FIRE ALARM? ❑YE5 NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable). <br /> DESCRIPTION OF WORK: ADDING TO EXISTING LOW VOLT SECURITY SYSTEM <br /> CONTACT INFORMATiP#I17' <br /> OWNER NAME: BARGREEN COFFEE CO TENANT NAME(if Commercial):BARGREEN COFFEE CO <br /> OWNER MAILING ADDRESS: ;n1,1ET3015 1/2 EVERETT AVE <br /> (;,1Y EVERETT STATE WA Z,P 98201 <br /> OWNER PHONE:425-252-8674 OWNER EMAIL: <br /> CONTRACTOR NAME:ADT LL.0 <br /> CONTRACTOR ADDRESS: sTRIET 11824 NORTHCREEK PKWY N #105 <br /> �.,TI BOTHELL <br /> STATE WA LF <br /> CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM <br /> CONTRACTOR LIC.#(REQUIRED):ADTLLL`881 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED)050955 <br /> AC <br /> PRIMARY CONTT: ❑OWNER 13'C ONTRACTOR ZTHER'(Please Specify) JENNIFER COVELLOI AGENT _ <br /> CONTACT NAME: CONTACT PHONE:206-774-9483 <br /> JENNIFER COVELLO CONTACT EMAIL:JENNIFER@NWPERMIT.COM <br /> AGREEMENT:T hereby certify that t have read and examined this application and know the same 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 permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> l,-Vat law n.gulatfrrg constructk)northe performanox:orcorrstnrcticxi. That 1 am authorized by the ownar of this property to perforin the work for which application is made and l <br /> comply with the State Contractors taw 18.27 RCIN and 296.2.00 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> Digitally signed byJemiter Covello PERMIT# <br /> 3 DN:cn=Jnifer(rCovello,o,ou, 03/22/2010 �) O� <br /> small-jenntfer(d�nwpannit.ccrn,c--US <br /> 4 c Date.'2016.03.1510:26:01,1­07'00' <br /> Owner/Authorized Agent Signature Date (Revised 10/1 212 0 1 5) <br />