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To E Pagc 2 c!2 20�a�C9��5 �92i 30(GMT; t8894C003P3 Frcrn Deboiah Snic�Cs <br /> -- — • • l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVtCES <br /> 32�0 CEDAP. STREET, EVEF,ETT, 1NA 96207 <br /> 425257-8810 - FAX 425-257-8857—+nnv,�everetriva.org <br /> � <br /> ' 3223 COLBY AVENUE , <br /> PROJECT ADORESS <br /> KUMAR SANTOSH 3223 COLBY AVENUE EVERETT WA 98201 ����sesase, <br /> I <br /> G�+�ner Ma�I:.eCress C:�� Sr:.:e�Dp Phone i <br /> 'i I <br /> TBn9r.[ P,Ia��lAtltlreS> G�Y Sla'eiD�p POane I <br /> � ADT LLC >>A-� voRTM�nEEKFK�vYN���S gOTHELL, WA 98011 ��° ��•��••� � <br /> I [�eetn�ral Conlraqer h'aA Aeorc,s G�ty S:a;e�Zp Phone i <br /> � ADTLLL*881 DO 050955 <br /> State L�cense N�mber jreqa�reC1 Crty ef EvereL�us�.n�ss L�cense Number(requaedl ' <br /> � RES 200 <br /> iFroposcA Usc of pu�ltlm� Contrad Pnce ot UVork <br /> JCNNIfER LOVElL0206�77J�5/uy�[ryryIFER3NN'PERA11i.CCA� <br /> SGuare Feotage�It res�aennsl new construction, remodel ur atldrtmn) Contact Person/Contact NumhedEmal <br /> � <br /> 1 CONIRUL, 5 DEVICES I <br /> Number ol dewces(If low voltage) <br /> UPGRAD6 ALARM PANEL, OTHER DEVICES AND POWER SUPPU[S <br /> Descnption ol Work to�e Done <br /> I <br /> FE[ <br /> CITY OF EVEPETT LOCAI SALES TA% CODE IS J705 I��D <br />� �hereDy cerlJy fhat I have read antl exam�ne,7 tn�s app6catron arid hno+v ihe same to be true and _ <br /> co�iect Au provrsrons ol lau�s and orurnances governmg lhis type ol mork�vdl be complefed <br /> �rhefher specdied heiem or not The yran6ng ol a permrt does not presurne to grve authonty fo PERI4ITX <br /> siola7e or cancel the pro�as�ons ol any other stare or Ixal7aw regulatmg construdron or Ine � p '�', (� �D � <br /> perlormance o!con5lrucLon That 1 am authorued by the owner ol Uus p�ope�ty to peitorm ihe � U � Q <br /> �vwk for�vnrch appHcahon rs matle and I compty wrlh !he State Cnnfracto�s f.aa� 18.27 fiC W and <br /> 29G:00 WAC <br /> �`,.'.`�",'..�"`..` 09/15/2014 <br /> Jennifer Covello ° :'. ::;�°:r.:;; - ,�,z <br /> a.�<�n�.n•.s v�e w a�a�:�< <br /> Signaturc Date <br /> _ .,_rzxc.. <br />