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TV. L Pnpe 1 ., 2 20-..I.O.I.1tl 19 01'1.1 f.. 1) 1.... 0003.7 <br />ELECTRICAL_ PERMIT APPLICATION <br />CITE( OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAY, 425-257-8857—%ww.everettwa.org 01-I� <br />E J S oy --tT7 <br />5:30 SW Everett Mall Way Ste 101 <br />PROJECIADDRESS `, p <br />Star Fruit and Vegetable 530 SW Everett Mall Way Ste 101 EVERETT ERETT WA 98204 425-750-4487 <br />Owner Mall Address City Statelzip Phone <br />Star Fruit and Vegetable <br />Tenant Mail Address City Slate/Zip Phone <br />ADT LLC 11824 NORTHCREEK PKWY N BOTHELL, WA 98201 206-774-9499 <br />Electrical Contractor Mail Address City Slate/Zip Phone <br />ADTLLL*881 DO 299.00 <br />State License Number Contract Price of Work <br />Commercial jennifer@nwpermit.com <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) <br />1 Control/ 1 Devices <br />Number of devices (If low voltage) {. <br />Description of Work to Be Done: Install new security System <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 [� r-^ D on <br />I hereby certify that I have read and examined this application and know the samo to be true and <br />correct. All provisions of laws and ordinances governing this typo of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br />violate or cancel Ilia provisions of any other stale or local law regulating conslmclion or the <br />performance of construction. That/ am authorized by the owner of this property to perform the ( e , `C/ _ <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and t <br />296.200 WAC. <br />,Jennifer Covello'°"""" 04/04/2014 <br />pY:P.,vw htaR.laip,. <br />n...Iwo•.o..ann.+w <br />M T]1101 n IO Ii O UrO1 <br />Signature Date <br />REVISED JW13 <br />