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To: E Page 1 of 3 2016-01-27 21:33:53 (GMT) 18884000383 From: Deborah Shields <br /> .............. ................................*............. <br /> E <br /> A LECTRICAL PEFRWIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everattwa.org <br /> 2511 MELVIN AVE Unit C <br /> 1 PROJECT ADDRESS <br /> MURPHY APARTMENTS 2511 MELVIN AVE EVERETT 98203 440-344-9670 1 <br /> Owner NAM Address City state./Zip Phone <br /> MURPHY APARTMENTS 2511 MELVIN AVE EVERETT WA 98203 440-3144-9670 <br /> Tenant Mail Address City state"Zip Phone <br /> ADT LLC 11824 NORI'HCREEK PKWY N#105 BOTHELL, WA 98011 206-7 74.9499 <br /> Electrical Contractor Vlail Address City Stateizip Phone <br /> ADTLLL*881 DO 050955 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial 800 <br /> Proposed Use of Building Contract Price of Work <br /> JENNIFER COVEt 10 206-774-949a,]FNNIFEF,§NWPE.IMIT.CDP.i <br /> Square Footage (if residential new construction, remodel or addition) Contact Person/Contact Nurnber,'Email <br /> 1 control/ 5 devices <br /> N"-;Tb—WR­de—,ic-.�—,s FIf <br /> u gia) <br /> Description of Work to Be. Done: <br /> CCTV SYSTEM <br /> .......... ............ <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 31105 <br /> I hereby certify that 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 he completed <br /> whether specified herein or.not. The granting of a permit does not presume to give authority to PERMTT4 <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction, That I 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 /> LG ly Lo <br /> .......... <br /> L;� IN�r.I!,.-.,�P—,� `1 /27/201 6 <br /> Jennifer Covelloj-.ga"Gc-ilc..' -�j U <br /> Signature Date <br /> fEVN-ED 081&V2+11.1 <br />