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To. E Page � ot2 20�4-�7-21 t5-07:�1 (GMT) '18884000383 From�. Deborah Shields <br /> �LECTRICAL PERMIT APPLICAT�ON <br /> CITY OF EVEFIET� P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVFRETT, WA 98201 <br /> a2s2s�-aaio - FAx a25-257-F�857 —v✓�vw.everettwa.org �I `a) _ ��, <br /> c�Jy> >`G�Z� <br /> 5108 Evergreen Way 1 -A <br /> PROJECT ADDRESS <br /> E�RETT SMOKE SHOP PLUS INC 5109 EVERGREEN WY STE 1-A EVERETT WA 98203 ZOG3Si-9776 <br /> Ovmer h7ailAddre.0 CAy StnteRip Phnnc <br /> EVERETf SMOKE SHOP PLUS INC 5108 EVERGRcEN WY STE 1-A WA 98203 z0635a�&776 <br /> Tenant h1o:ll,tltlress Ciry SiatelLp Pliane <br /> AUT LLC >>Pz�NORTHCREEKPKVJVN�,oS gOTHE�L, WA 98011 ��°.��. y.�, <br /> Electncal CoNractor Mail Address Gly S�atelLp Phone <br /> ADTLLL*8g1 DO 050955 <br /> State Ucense Numher(reqmred) City of Everett Business License Number(required) <br /> COMMERCIAL 2446.00 <br /> ProposeJ Use of 6wlding Contract Pnce ot�Nork. <br /> lEIINIPCR COVELL0.06-774-9:59 JENt11FER�NWPEFA71T.001.1 <br /> Square Foolage Q(resdential new tonsVUGion, remodel ur additionj Contact PersonlConlact NumhedEmail <br /> 1 CONTROL, 7 DEVICES <br /> Number ol de�ices pf low vallage) <br /> oes���p��o�,o��vo��o �� oo�z Installing new security system. <br /> F[E <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 370d t �C� <br /> 1 hereby certily tha11 have read end exammed fh�s applicatwn and Anow lhe same lo be true and � <br /> conecl. All provisions of laws and ordinances govemmq this type ol�vorh wdl be completed <br /> �vhether specilied heiein or noL The granting of a permil does nof presume to glve authonty!o PERM IT# <br /> violate w cance/fhe provisions o!any otber stale or local law regu/afin9 consVuclion or Ihe � ^� � f I I — ��I <br /> performance o�construc�ion. That f am authwized by the owner ol this proper7y to perlorm the `�j `�1 <br /> work lor�vhich apphwtron is made and I compty wifh the State Contractors Caw 78.27 RC W and <br /> 296.200 WAC <br /> �:�.�.`�",'.��.".` 09/15/2014 <br /> Jennifer Covello °K`::r::°wn:��:°,���.�.� <br /> o��n�.a�s�x�s oc crtr <br /> Signature Dale <br /> HEVFE^0.411'.p`1, <br />