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To�. E Page 1 of 2 201a•10•73 20:2430 (GMn �88�4000383 From�. Deborah Shieltls <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42�257-8810 - FAX 425-257-8857 — www.everemva.org <br />607 SE Everett Mall Way Ste 11 <br />PROJECT ADDRESS <br />ROBINSON PROPERTIES 81NC LLC 500 SE EVERETT A1ALL WY #A7 EVERETT <br />Ovmer <br />Mail Addres5 <br />Ciry <br />10-i3-�� <br />C-r^�►� �v-��� <br />WA 98208 <br />State/Lp <br />Phone <br />Asia Noodle House Reslurant 607 SE Everett Mail Way Ste 11 E VERETT WA 98208 �25348-361G <br />Tenan[ <br />ADT LLC <br />R1ui1 AAtlress <br />Cily <br />Sto�el�p <br />Phane <br />11B24NORTHCREEKPKWYNX705 gOTHELL, WA 98011 `uo-r..�u••.•� <br />ElOttnsal Cuntraetor Mail Address <br />ADTLLL*881 DO <br />cense Number (required) <br />Commercial <br />Propcsed Use of Building <br />Squarc Footage (If residential new construuion, remodel or addition) <br />1 control, 4 devices <br />Number ol devices (If low voltage) <br />Cily <br />StatelZip <br />Phone <br />050955 <br />City of Everett Business License Number (required) <br />199.00 <br />Contract Pnce of Work <br />JENNIFER COV'cLL0206774�5�591[NNIFER�IRYPCRMIT.COld <br />Contact Person/Contact NumbedEmail <br />Descriptiono(WorkbBeDone �nsta�� neW $eCur�ty System <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �106 <br />I he�eby certAy thaf I have read and ezamined fhls applkation and kno�.v Ihe same !o be frue and <br />conect. All pravisions ol laws and ortlinances govemrng thrs type ol �vo� k wi!! 6e comp/eted <br />whether specified herein or not The grenting of a perm/f tloes not presume to grve authority 10 <br />violate or cance! the provisions ol any other sfale or loca/ law regulating consvucfion or fhe <br />peAormance ol construction. That I am avthorized 6y the owner o! this property to perlorm the <br />worA (or �vhich application Is made and I compry wi7h the Sta(e Contracfors Law 18 27 RC W and <br />296.200 WAC. <br />. piLry�G^bhlwN�Un�b <br />Jennifer Covello`M ::::.��t;;� �'�,.o'�a 10/13/2014 <br />om. ��� �om �im ncrt» <br />SignaWrc Date <br />FEVlGE_^.:.M1CG:CI: <br />FEE <br />I 5°° <br />PERMIT# <br />E s I� I� -��3 <br />