9629 EVERGREEN WAY DETAILS IN THE RIVER 2017-01-17

To: E Page 2 of 2 2016-06-09 22:08:03 (GMT) 18884000383 From: Deborah Shields 04Err ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gov/permits i PROJECT SITE 1N ORMA#ION PROJECT ADDRESS:9629 EVERGREEN WAY STE 101 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE SFR-DETACHED SFR-ATTACHED DUPLEX MULTI-FAMILY-#OF UNITS: ✓ COMMERCIAL USE OF BUILDING:COMMERCIAL EL CTRICAL APPLICATION INFORMATION . CONTRACT PRICE OF WORK: $350 NUMBER OF DEVICES(if low voltage):4 FIRE ALARM? ❑YES Vf NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: LOW VOLT SECURITY SYSTEM CONTACT INFORMATION. OWNER NAME: DETAILS IN THE RIVER TENANT NAME(If Commercial):DETAILS IN THE RIVER OWNER MAILING ADDRESS: STREET 9629 EVERGREEN WAY STE 101 CITY EVERETT STATE WA ZIP 98208 OWNER PHONE:425-346-1756 OWNER EMAIL: CONTRACTOR NAME:ADT LLC CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 CITY BOTHELL STATE WA Z,P 98011 CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENNIFER@N WPERMIT.CO M CONTRACTOR LIC.#(REQUIRED):ADTLLL*881 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED)050955 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR / OTHER(Please Specify) JENNIFER COVELLO/AGENT CONTACT NAME: CONTACT PHONE:206-774-9499 JENNIFER COVELLO CONTACT EMAIL:JENNIFER@NWPERMIT.COM 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 governing this 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 local law regulating construction or the performance of construction. That t am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 1'5 Fp% >t `?;.( Digitally signed by Jennifer Covello PERMIT# � s ,� DN cn--Jennifer Covello.o ou, `.. email jenniferranwparmit.can FUS 06/09/2016 E I �n a1( /) ,J �, Date 2016.03.15 1026:00-07'00' I I// r o Owner/Authorized Agent Signature DateII UULL (Revised 10/12/20155)