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To. E Page 1 of 2 ?0�5-03-� 1�3:28 a7 (GMT) 18884000383 From�. Deborah Shields <br />ELECTRICAL PERMIT APPLICATIOM <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEftETT, WA 96201 <br />425-257-8810 - FAY 425-257-8857 — wwvv.everettwa.org <br />E�i�3 —�% <br />6323 EVERGREEN WAY 3_ ����5 <br />PROJECTADDRESS <br />HOGLUND'S TQP SHOP 6323 EVERGREEN WAY EVERETT <br />Gvner <br />h1n�l AAdresS <br />HOGLUND'S TOP SHOP 6323 EVERGREEN WAY <br />Cily <br />WA 98203 azs�53.:zz� <br />P,ta�e�Ln <br />Fhone <br />WA 98203 �zs��3��z� <br />renant r.!airadress cnr si:n�i��, Phmie <br />ADT LLC 11A2dNORTHCREEKPKWYN�105 gOTHELL, WA 98011 Z06774949y <br />-1eCincal Contraetor M11aJ Address G�I � <br />5 S�31eup Phone <br />ADTLLL*881 DO 050955 <br />State Li[ense IJumber jreqwred) C�ty o' Everen Business License Plumbcr (reqwred) <br />COMMERCIAL 200 <br />p�oposed Use of Bwlaing Contract PnCe cf �Nork <br />JCIINIFeR COVELL02J5�!7.i-SaSSJCNIUPERKN':lPrfAll'.CCdd <br />Square Footage (It resider.tial new construc�ion, remodel or additmn) Contaci Person/�ontact NumhedEmail <br />1 CONTROL / 5 DEVICES <br />Number of de��ccs (If low voltage) <br />Descnphon of bVorY, to Be oana ADD ON INSTALL: KEYPAD , RELOCATE MOTION DETECTOR, <br />ADD ON LOW VOLTAGE DEVICE AND WIRE INSTALL AND RELOCATE DEVICES <br />CITY OF EVERETf LOCAL SALES TAX CODE IS �106 <br />7 ne�eny certdy thal ! have iead anU eramrned (hrs appLcafion and know the same to Le frue and <br />conecf Fl!I provisions ol /aws and ortlmances qovemirg th�s type 01 �vak tviN be completed <br />whether spec�lied heiem cr not The yranting ol a permrt does not presume to give authoiily fo <br />violate w cancel the fuov�s�ons ol any oth=� state or loca/ la�v regulatmg consvuct�on or the <br />pcdamance oJ cunstnrc6on. That ! am authai:etl Dy (fre o:vne� ol th�s pro�xrly �o perlorm the <br />wcrA lor wnich appl�catior. is marle and l cornply wiro (�e State Contractors Law 78 ?7 RCW anA <br />295 ?00 N+AC <br />Jennifer Covello `',`,.`..,�;, �`;'.� <br />° ` '" 03/11 /2015 <br />.�:,..., , �., <br />nu: ��.:o��z:r ea.vn'.� <br />Signature Datc <br />FEE <br />� S OD <br />P[RtdlT:f <br />E�1503—007 <br />