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�., c � � . or� aoi.._o.�_wasao.�v <orn�� �nnn..000:�..:� r.o.., o..�,,,...�. .�.�..�.�� <br /> I �LECTRlCAL PEFZMIT APPLICATION <br /> � <br /> I <br /> C17Y CrF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, lNA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www everethva.org <br /> /� —7 —�� �� <br /> �. i �v� -o <br /> � 3217 Lombard Ave <br /> PROJECTADDRESS <br /> Temple Bethel Org 3217 Lombard Ave EVERETT WA 98201 �7-5-223-8096 <br /> OwnEf �,1ad Address Q!y State/Z:p Phonc <br /> Temple Bethel Org <br /> Tenant �,t„i naaress cny s�aeerz�� Pnone <br /> ADT LLC ��824 NORTHCREEK PKWY N BOTHELL, WA 98201 206-77c-g499 <br /> Elet[fiCal ContraCtOr tdail Atldress Cdy State2ip Pnone <br /> ADTLLL*881 DO 462.00 <br /> State License Number Gontract Price of Worh <br /> Commercial jennifer@nwpermit.com <br /> iProposed Use ot Buiiding Contact Person (Plan Review) <br /> Square Footage Qf residential new conslruction, remodel or atldrt�on) <br /> 1 Control/ 1 Devices <br /> Number of tlewces(If low voltage) <br /> DescriptionotWurktoBeDone� Instal� neW SeCur�ty System <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 r—/1(� <br /> 1 horoby cerirly�hal l have read and examined this apPlicalion arrd know fhe same to be liue and v �� <br /> correc(. All pmvis�ons ollaws and aTlrnances govemin�(his rypo al work will Ge camplo(ed <br /> whefher specified heroin ornot. The granfing ol a pormif does no�prosume fo givr authoii7y 7o PERMfT7 <br /> viola(0 or CancC/(fr0 pmv�siOns 0!any olher yfO�B O�IpC.11 IdW I�,IIJ(in9 LOf1S!/i/ChOl/0!I11C ^ I� O� _ O, I / <br /> perfomiance o!construJian. Thaf I am au(horued by the owner ol(his property lu perlomr Ilre L �� � <br /> we�k lor whiclr applicafion is made and 1 comply wi(h!he 5(afe Conln<clors Law 18.27 RCW and <br /> 296 200 WAC. <br /> �.";.^.',.�..°�„`�'..:°. <br /> ,lennifer Covello d•�-��R;;�� ""�12 04/04/2014 <br /> s..n.....a• . rne <br /> on m.e�n muu<rr <br /> Signalure pate <br /> reEv;�EG v:a�r3 <br />