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T�i 1_ F'npn 3 oI J ' 20�.�-0�-'J1 20.�7 .�t IG.MT) 1nC��f�O(JUJ!1J 1-�orr�. On�aa�nM1 •v'I�I�+iOu <br /> • • <br /> ELECTFtICAL PERMIT APPLICATION <br /> CITY OF EVER�ETT PERMIT SERVICES <br /> 3200 CEDAF� STREET, EVERETT. WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org C(`O(_�/�. <br /> 7 <br /> S�'�1 � i� �r�-� � <br /> �5�1 Evergreen Way <br /> PROJECT ADDRESS �� <br /> Camiceria Los Compadres 2 �2'rEvergreen Way EVERETT WA y8203 3so-ssa-soss <br /> Owner Mail Address Cily SlatelZip Phane <br /> Carniceria Los Compadres 2 <br /> Tenant tdail aadress ciry state/zip Pnone <br /> ADT LLC 11024NORTHCR[[KPKWYN gOTHELL, WA 98201 206-774-9499 <br /> ElectriCal Contractor Mail Atldress Cily SlalelZ�p Phone <br /> ADTLLL*881 DO � 1520.00 <br /> State License IJumber Contrect Price of Work <br /> Commercial jenni`er@nw�ermit.com <br /> Proposed Use o1 Builtling Gontact Person (Plan Review) <br /> Square -ootage(If resitlential new construction, remotlel or addition) <br /> 1 Control/ 4 Devices <br /> Number of tlevices Qf low voltage) <br /> Descriplion ol Work to Be Done CCTV SYSTE M I NSTALL <br /> fEE <br /> qTY OF EVERETT LOCAI SALES TAX CODE IS 9105 /^� O� <br /> <J <br /> I horoby cerfily flrof I havo�ead nnd oxamined Ihis applicalion and know Ibo samo lo bo true ood <br /> corrocl. All p�ovisions ollaws and orAinancos govr.ming fhis type ol work will be compfoled <br /> whefhe�speci/ied Imioin nrirof. The grenling ol u pertnif does nof prasumv fo give authorily lo p�RM[i"ty <br /> violafe or cnncel Ihe prvvisions ol any ofhvr slate or loca�law regulafing conslrucfiorr or tho ^ / �O � V D� <br /> pedarmanco ol conshuction. Thof 1 am aulhorrzed by!he ovvnor ol Ihis�ropeny to�>e��um�rne t <br /> work lor which applicalion is made and 1 comply witb the S(ate Confmc(ois Law iQ.27 RCW and _ <br /> 29G.200 WAC. <br /> � arn�w+�+ere«.�,.r... <br /> .lennifer Covello°";�;n�, ���'�w�i;`����- 03/31 /2014 <br /> o:.>m�o�n�a n.o onn' <br /> Sic�wture Dale <br /> �Cv�5e0J4�:iJ <br />