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To� E Pagc 2 oi 3 ?015�0346 '19 03 42 (GMT) �8BBa0003B3 From Deborah Shieltls <br /> —_-- � —•_ —_ <br /> ELECTRICAL PERMIT APPLICATIO�I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREFT, EVERETT, WA 9820t <br /> 425257-881C - FAX 425-257-88;7 —wNn�v.everettwa.org <br /> 10 SE EVERETT MALL WAY SUITE C <br /> PF.UJECT ADDRESS <br /> TOBACCO JOES �OSEEVERE7Th1ALLlVAV SUITEC EVERETT WA 98208 QZ���Zeo�y <br /> Gmier Mn�l AdGress Cny S�a'e�Zp Phone <br /> TOBACCO JOES »�� EVERE17A1ALLP7AV SUI7EC EVERETT 98208 dZ5C128679 <br /> Tenant A7mlAddross Giy StnteG,p Phaae <br /> ADT LLC 11824 NORTHCREEK PKWV N C705 g OTH ELL, WA 98011 ��F7749499 <br /> ElccinC2lConlraCor A!a��lAddre55 Ciy Sia;e�Zio ahone <br /> ADTLLL*881 DO 050955 <br /> Satc L�censc Number(rccurtedJ Gty of Everetl 9us�ness Lic^nse NumUer(requ�.red) <br /> COMMERCIAL 200 <br /> Proposed Use of Buda n� Contract Pnc?of Work <br /> JEw1ifEF COYCLlO 2JSI�J-oi95 JCNN6[17 v.4P:PEF:•ITt04! <br /> Square Feotage Q!res�denUal new consWUion, remodel or addilion) Contact Person/�antact NumbedEmaJ <br /> 1 Control/ 4 Devices <br /> Number of de�dces pf low volWge) <br /> RELOCATE Cl1MC-R� RELOCATE LOW VOLT DEVIC[nND WIRE RELOCATE DEVICE(S) <br /> C�eser�phon of Wark ta Dc Danc <br /> FEE <br /> c;ITY OF EVERETT LOCAL SALES TAX CODE IS 9106 � V�D.D� <br /> .J <br /> I liereby cen�ly that/have read antl exammed th�s app/rcafion and kno�v the same fo be true and _____ <br /> coriect All provrs�ons o/la��•s and ordmarrces qovemmg this type o(�voik�vrU be comple(ed ----- -- <br /> �:hether specdred herem or not The granbng of a permrf does nof presume ro grve autnorrty to pERF11T# <br /> wolate or cancM the F✓ovisions ol any ot�er state or laa�la�v reguiating consbuct�on or t�e r �J D� �� <br /> peAormance ol construction. TAat!am aulha�red by the o��vner ol Uns p�operty!o pcAorm Uie C V� "' <br /> work for whrch applicat�on is matle and I compty w;fh tne State Conlrac(o�s La�v 19 27 RCW anU <br /> 296 200 LL�AC <br /> �:.`."�'�""-��'e 03/26/2015 <br /> Jennifer Covello`�.`�..-...�..,.�.....�,,:;°,�; <br /> oa<x�}mnumnorta <br /> Signalure Date <br /> 4Evie�pG,•c'ou <br />