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-ro r_ u..�o�z �o�a.o�.�.� i... nn ic� �onr�� innn.�000:ino r .o.... o..�.o...n �u.��ia. <br /> EL�CTRICA►L PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX425-257-8857—www.everettwa.org � �/6�/4 <br /> C 1401-D'>g <br /> 10 SE Everett Mall Way Suite C <br /> PROJECT ADDRE55 <br /> ESNOLDEVERETfRENTALILC 3302 OAKES AVE ANACORTEs 98221 <br /> Ownef hlailAddress City SWINZip Phcne <br /> Tobaeco Joe�S 10 SE Everett Mail Way Suite C EVERETT WA 98208 425-512-Si79 <br /> Tenant A1ail Address City siaieiz+p Pn me <br /> ADT LLC ��8Z4 NORTHCREEK PKWY N gOTHELL, WA 98201 2G6-774-9499 <br /> ElectncalCoNrarior MailAddress City Slatel2ip Phone <br /> ADTLLL*881 DO $ 1512.0� <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 Qt residential new construction, remodel or addrtion) <br /> 1 control/ 5 devices <br /> Number of devices(It low voltage) <br /> Descnplion oi Work ro Be Done �� " " �ysfem I nSta��at��n ` <br /> FEE Q O� — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � �_ <br /> !horo6y cortity fbof I havo roaU and examined fhis applic�fion and kno�v Iho snmo(o be Iroe and <br /> correcf. All pmvisions ollaws nnd ortlinances goveming this rype of work will bo complefed <br /> whefher speci(ed herein orr�oL The grnnling of a pmmil doos not prnsumo to yiv�aufhority to PERMITJt <br /> violale or cance/lhe pivvisions o/any ofberslafe orloc�l law regulaling c�nsfniclion or fhe � � �� I _ ��/a <br /> pe�fonnance ol consfrucfiat Thal 1 am aufhonzed bylhe owner of(his prope�ty lo perlonn fhe ��� <br /> wo/k Jor which applicalion is mode anJ 1 comply wifh Lhe S(ofe Contraclors Law 78.27 RCW and _ <br /> 296.200 WAC. <br /> nn.,v-�.,,...,.c...c. <br /> �ennifer Covello��""'"�==°""�"""'""" 01 /14/2014 <br /> v.�C�. •�"��vs <br /> M}]uD�1�NIIY tfN' <br /> Signalure Oalc <br /> Fr v�sen?rtv�� <br />