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To: E PeaSac '1 of L ZO'14-02-03 �'1 �.'1 Et:'16 (GMT) '1 Fi884000_�F33 Frc�r��: O�boral-i sni�ias <br />� <br />ELECTRIGAL PERMiT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320Q CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />701 75th St S E Apt 113 <br />PROJECT ADDRESS <br />Shoreside Village Apts 701 75th St SE EVERETT WA 98203 425-355-82�7 <br />Owner <br />Tenant <br />ADT LLC <br />Mail Address <br />Mail Address <br />City State/Zip Phone <br />EVERETT wA 98203 <br />City <br />State/Zip <br />Phone <br />11824 NORTHCREEK PKWY N gOTHELL, WA 9SO36 206-774-9499 <br />Electrical Contractor Mail Address <br />ADTLLL*881 DO <br />State License Number <br />M U LT I FAM <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />1 Control/ 5 Devices <br />Number of devices (If Iow voltage) <br />City State/Zip <br />457.00 <br />Phone <br />Contract Price of Work <br />jennifer@nwpermit.com <br />Contact Person (Plan Review) <br />Description of Workto Be Done: Install neW SeCur�t�/ S�/S`ern <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify fhat I have read and examined this applicat+on and know fhe same to be true and <br />correcf. Al1 provisions oflaws and ordinances govemrng this type of work will be completed <br />whefher specified Ite�ein or not. The granting of a permit does nof presume to give authorify to <br />violate or cancel the �rovisions of any other state or /ocaJ !aw regulating construction or the <br />perforrnance of construction. That l am authorrzed by the ownerof fhis property to perform fhe <br />work for which application is made and 1 comply with the State Confractors Law 18.27 RCW and <br />296.200 WAC. <br />' o�qrt�ny sig�ea oy �e���re� co�,dio <br />Jennifer Covello`o���.�e��,�,�o.e��o.o.No.,�,.es�Fe,�„���� <br />u=Regional McounlAl>nager. <br />en1]1F-�ennller�n�.vDerniil.coni, c=LlS <br />Data�. 2V14 01.2) 10 49:40 �OOVD' <br />Siqnature <br />REVISED 3/2GN3 <br />05/29/2014 <br />FEE <br />Vv <br />� `-� <br />PERMIT# <br />EI�C�C� - UZZ <br />