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To: E Page 2 of 4 2016-02-11 16:19:31 (GMT) 18884000383 From: Deborah Shields <br /> Iii <br /> ELECTRICAL PE APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wwweverettwat,org <br /> E.n�"A <br /> 11532 ++VVY-S9 STE <br /> PROJECT ADDRESS <br /> TORO TAXES EVERETT 11632 HWY 99 STE G EVERETT 98204 425-249-2242 <br /> Owner Mail Address City state/Zip Phone <br /> TORO TAXES EVERETT 11632 HVVY 99 STE G EVERETT WA 98204425-249-2242 <br /> Tenant Moil Address City State/Zip Phone <br /> ADT LLC 11824 NORTHCREEK PKWY m#lo5 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 150 <br /> Proposed Use Of Building Contract Price of Work <br /> JENNIFER r;1DVELL0 200-774-9409 JF_NNlFER@a%WPERM11.CoT,1[ <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Err-ail <br /> 1 control/ 3 devices <br /> Number of devices Of low voltage) <br /> Description of Work to Be Done-, LOWVOLT SECURITY SYSTEM <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 qq ^ oo <br /> i hereby certify that f 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 of construction. 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 /> DN"_J­ft�' <br /> Jennifer Covello "°" <br /> W 112/12/2016 <br /> Calc.201C_S 01,Q 41;:4 <br /> Signature Dale <br /> RrVISED 0n,'06,N;1j <br />