11401 3RD AVE SE 2017-09-11 - Laserfiche WebLink

To: E Page 2 of 4 2016-05-23 00:20:01 (GMT) 18884000383 From: Deborah Shields ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits SITE INFORMATION:':` PROJECT ADDRESS:11401 3rd AVE SE BUILDING 9 SHOP 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: ELECTRICAL. APPLICATION INFORMATION CONTRACT PRICE OF WORK: $350 NUMBER OF DEVICES (if low voltage):9 FIRE ALARM? ❑ YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: LOW VOLT SECURITY SYSTEM CONTACT 1NFORMATIOAI ., OWNER NAME: NORTHCREEK APT TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11401 3rd AVE SE CITY EVERETT STATE WA ZIP 98208 OWNER PHONE:425-348-5199 OWNER EMAIL: CONTRACTOR NAME:ADT LLC CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 °,TYBOTHELL STATE WA ZIP 98011 CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM CONTRACTOR LIC.#(REQUIRED):ADTLLL*881 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED)Q50955 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 11 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 I am authorized by the owner of this property to perform the work for which application is made and comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE art �5oi Digitally signed by Jennifer PERMIT# Jennifer Covello Covello 05/22/2016 Date:2016.05.2217:12:03 C p)I ((1(n05— -0700' Owner/Authorized Agent Signature Date (Revised 10/12/2015)