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To: E Page 1 of 2 2016-05-12 13:18:37 (GMT) 18884000383 From: Deborah Shields <br /> 471En- ELECTRICAL PERMIT At-rLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.govlpermits <br /> P13!OJECT SITE INFORMATION <br /> PROJECT ADDRESS:900 W CASINO RD <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE SFR-DETACHED SFR-ATTACHED DUPLEX MULTI-FAMILY-#OF UNITS: ✓ COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL,APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $150 <br /> NUMBER OF DEVICES(if low voltage):1 <br /> FIRE ALARM? ❑YES ✓ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> ADDING TO EXISTING LOW VOLT SECURITY SYSTEM AND CCTV SYSTEM <br /> CONTACT INFORMATION <br /> OWNER NAME: LITTLE DISCOVERY CHILD CARE l.� TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET900 W CASINO RD <br /> CITY EVERETT STATE WA zip 98204 <br /> OWNER PHONE:425-501-6176 OWNER EMAIL: <br /> CONTRACTOR NAME:ADT LLC <br /> CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 <br /> CITY BOTHELL STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM <br /> CONTRACTOR LIC.#(REQUIRED):ADTLLL"881 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED)055O95555 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR Y IDTHER(Please Specify) JENNIFER COVELLO/AGENT <br /> CONTACT NAME: CONTACT PHONE:206-774-9499 <br /> JENNIFER COVELLO CONTACT EMAIL:JENNIFER@NWPERMIT.COM <br /> AGREEMENT. T hereby certify that t have read and examined this application and know the same to be true and correct, All provisions of laws and ordinances governing 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 I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 412 I16' O� <br /> Digitally signed by Jennifer PERMIT# <br /> Jennifer Covello Date.2 05/12/201600---k <br /> Date:2016.05.12 06:15:06 C1`� ��-07'00' C v <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />