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To E Page 2 0l 2 2014•1 7-22 00 07.57 (GMT) 18884000383 From Deborah Shirltls <br />EL�CTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERFTT, WA 98201 <br />d2�257-8810 - FAX 425-257-8857 — wvsJteveremva.org f �_ 3 u—I 4 <br />C— � � y ll -0�3 <br />9i40 Evergreen Way <br />PROJECT ADDRESS <br />Westem Engmeers Surveyors 9740 Evergreen Way EVERETT <br />Owner <br />f.1ad t.dAre.tti <br />4vestem Engineers Surveyars 9740 EV@fgfQell W8y <br />Tenant <br />ADT LLC <br />6!ad AUCress <br />Cily <br />WA 98204 <l�s�--�oo <br />Slete2p <br />Phr,nc <br />W/� 98204 ����;��:��� <br />SIOIP1Jp <br />Phane <br />;18'SNORTHCREEKPKWYNX105 gOTHELL, WA 98011 '��-"'�•�tlY <br />EleclncalCUniractar h!adAdoress <br />ADTLLL*881 DO <br />State L�cense Number (reqwred) <br />COMMERCIAL <br />Proposed Use of Budd�ng <br />Square Footage Qf residential new consiruUion, remodcl or addrtion) <br />1 CUNI"ROL, 7 DEVICES <br />Number of de�4ces (If low voitage) <br />Gny <br />Statci7�p <br />Phone <br />050955 <br />Gty of Everett Busmess �icense Ilumber (reqwred) <br />2600.00 <br />Contrap Pnt? of Worf: <br />JENNIFER COVELLO:JG773.?iSi!ClUIIF_R3N'.YGEPR'I".COI.' <br />Conlact PcrsonlContact NumbedEmail <br />Descriptionof�VoN,toC�eDone�. ��W vOl` SeC'ur�ty and CC"�! �nsta�' <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �106 <br />I hereby certify that ! have reatl antl examined lhrs opplrca6on and A�row tlre same to be true and <br />conecl. All prowsions ol /aws and o�dinances goveimng thts type ot �:orA �v�U be completed <br />whether spec�fred herem or noL The granting of a permrt does nol pres�me to y�ve auth,on(y !o <br />viola(e or cancel the provis�ons of any other s(ate or /ocal law regulafrne consVuc:ion or the <br />perlormance of consVuctron. That I am a�lhar:etl by the owne� of (hi:, pro�, �y to perlorm the <br />worA lor u�nich appHcation rs made and I compty with the Sfale Contrac tors Law 18.27 RCW and <br />296 200 WAC <br />O:uA �C�+] 4�1�� � Ca�b <br />,lennifer Covello M' `::�: °' �" ~'°�`" -' 11 /21 /2014 <br />..M.,�..�.�,.,.°�..9 <br />ox�nu�ir�iemwaro <br />Signature Date <br />atv,,c+cea,s�r <br />fEE <br />js <br />PERh11T# <br />E P> i�f�� _ p z.� <br />