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.. c i ..o.. � or� zoi..oe.rnv� a� �n�_arwr� iwienHoowno r,�m n..�,o....- ..n�aw.. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257•8857—www.everetriva.org <br /> 280 S <br /> �Eolby Ave <br /> PROJECT ADDRESS <br /> washington state un�versity 2$O9 COII�y AVe EVERETT WA 9HZO� 206-957-9090 <br /> OWnef �dai�Address Qty Sta�e/Zip Phone <br /> wasnington state university 2$Q9 �',O�fJY p1V2 EVERETT WA 98201 <br /> Tenant h7ailAtldresz Cdy Stale/Lp Phane <br /> ADT LLC »8z4 NORTHCREEK PKWY N gOTHELL, WA 98201 z06-774-9499 <br /> EleCtriCalCuntfaClCf hlailAddress City Sta1c/Z�p Pnone <br /> ADTLLL*881 DO 199.00 <br /> Sta[e Ucense Number Contract Pnce ol Wor1. <br /> COMMERCIAL jennifer@nwpermit.com <br /> Proposed Use oi Buiiding Contact Person (Plan Review) <br /> Square Footage Qf residential new consttuctioq remodel or adddlon) <br /> 1 Conlrol/ 5 Devices <br /> Number o1 tlevices(If low voltage) <br /> DescripiionolWorktoBeDonr Insta�� neW SeC'ur�ty Sysfem <br /> FEE �1� <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 v�/ �i.`� <br /> �/l.l '� <br /> I7i�reby certily fhof I have rrad end oxarnined fhis.pplicafion and know tho same to be hue ond <br /> corrr.cl AI!provis�ons o/faws nnd ortimencos governmg�his q�po uf woik will be conrpleled <br /> �vhuther spr,nfied herein ornot The gre�ntiny of a permif does not p�e+sumu 10 y�vo aufl�nrity fo PERMIT7 <br /> vlolafe or cance7lho provisions ol any otfier stnfe or local I nv mgulatiny constnicliar or fhe ^ ��O� ` �o 0 <br /> pr.rlorrnance ol construcfion. Thaf I nm aulhori.ed 6y Iho o�snerol fbis property fo pedonn fhC t <br /> wor�lor whiclr npplicn!ion is modo and 1 comU�Y�ti'�lh fhc Stetc Contracfors Law 18.27 RCW and <br /> 296.200 WAC <br /> v�ivmn..m.a...�, <br /> .lennifer Covello „�M�- '=�:�' ''"""` 04/22/2014 <br /> M�� :�1�)!!'1,.5 <br /> Signalure Dale <br /> f.:'Yr FO c:^.;:i? <br />