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To: E Page 1 of 1 2016-03-08 01:20:27 (GMT) 18884000383 From: Deborah Shields <br /> ........... <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 /> 318 SE EVERETT MALL WAY STE 11 <br /> PROJECT ADDRESS <br /> BUDGET AUTO CENTER 3,18SFEVERETT MALI_WAY STE 11 EVERETT 98208 425-754-1206 <br /> Owner I'Vail Address City State/Zip Phone <br /> BUDGET AUTO CENTER 318 SF EVFF\'F--T'T MAH-VVAY ;TF- 11 EVERETT WA 98208425-754-1206 <br /> Tenant Mail Address City State/zip Phone <br /> 11824 NORTHCREEK PKWY N 41015 <br /> ADT LLC BOTHELL, WA 98011 206-774-9499 <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 1700 <br /> Proposed Use of Building Contract Price of Work <br /> JENNIFER COVELLO 20(r774-9499,)F.NNIFEfl(a-_,N1NPERMIT.COM <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number!Ernail <br /> 2 Control/ 7 devices <br /> Number of devices(if low voltage) <br /> LOW VOLT SECURITY SYSTEM AND CCTV SYSTEM <br /> Description of Work to Be Done: <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <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# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance ofconstruction. That/am authorized by the owner of this property to perform the E� <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Vigft.'y tiQ—d by <br /> 0, <br /> Jennifer Covell Jonnxcr 03/07/2016 <br /> Signature Date <br /> REVISED 08106126 14 <br />