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To: E Page 1 of 2 2016-03-17 14:26:31 (GMT) 18884000383 From: Deborah Shields <br /> IIECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.govlpermits <br /> P�[QJECT a1TE 1ENIFfRlVIAT#�N,, <br /> PROJECT ADDRESS:2900 GRAND 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: COMMERCIAL <br /> USE OF BUILDING:COMMERCIAL <br /> ELE '#�#C11LA "P�:5G# Q#+# tNFCiRMA7'#qN <br /> CONTRACT PRICE OF WORK: $800 <br /> NUMBER OF DEVICES (if low voltage):6 DEVICES <br /> FIRE ALARM? ❑YES I NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: LOW VOLT SECURITY SYSTEM - LOBBY <br /> ONTFiCT Ndl�C1#t11A"#It3Ai <br /> OWNER NAME: POTALA PLACE EVERETT TENANT NAME(if Commercial):POTALA PLACE EVERETT <br /> OWNER MAILING ADDRESS: 11RECT2900 GRAND AVE <br /> ,TY EVERETT SIATE. WA v, 98201 <br /> OWNER PHONE:206-653-6570 OWNER EMAIL: <br /> CONTRACTOR NAME:ADT LLC <br /> CONTRACTOR ADDRESS: sTRE_T 11824 NORTHCREEK PKWY N#105 <br /> can BOTHELL eTATe WA ZIP 98011 <br /> CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:,JENNIFER(ONWPERMIT.COM <br /> CONTRACTOR LIC.#(RFQUlRFD):ADTL.LL"881 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED)O50955 <br /> PRIMARY CONTACT. ❑ OWNER D CONTRACTOR THER(Please Specify) JENNIFER COVELLO/AGENT <br /> CONTACT NAME, CONTACT PHONE:2061-774-9499 <br /> JENNIFER COVELLO CONTACT EMAIL:,JENNIFER@NWPERMIT.COM <br /> AGREEMENT. T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances govaroing 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 /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and/ <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 00 <br /> / ,.\ Digitally signed by Jennifer Covello PERMIT w�• <br /> yam+ DN crr Jennifer Covello,n no, <br /> r�n10i2B,it cm,c=US 03/1712016 <br /> Cl <br /> a!e�.?Ili G.Ct.;.'510��[}�C8_pi's' <br /> Owner/Authorized Agent Signature Date (Revised 10/1212015) <br />