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7o E Page 1 of 2 20�a�11-12 27 19 06(GMT) 18884000383 From Deborah Shieitls <br /> I __--.__. — _— _ ._ _ _. ._ _. _ . . —____ . _.__ �i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRFFT, EVERETT, WA 98201 <br /> 42`r2;7-8810 - FAX 425-257-8857 — wwr�.everemva.org '� `I Z_ '� , <br /> � <br /> C(j/UII -n(� I <br /> 1030 GRAND AVE � <br /> PROJECT ADDRESS <br /> CHRIS SIEVERS 1030 GRAND AVE EVERETT �H2O� `-�3�97379 <br /> iGLnCf '.'Ai AdCrecS Cl'i 5'ate'i.�p Phnne <br /> Tena�! :'u.lAdtlresc Cly Si���rrZ,V Fhanr I <br /> ADT LLC 11871P:�RThiCREEKPK:�;���.,�5 gOTHELL, WA 98011 ��� � • ���� <br /> � �G-�lil Cu^Irac:or �l'a!Add�ess G iy _:3;e'_P � 'one � <br /> � ADTLLL*881 DO 050955 � <br /> � Saie L�cense F:�mLer(reGu reCl Crt7 0`[�.erett 9us�ness L�c^nse tl�mb^r�reowredl � <br /> RES 200 <br /> j �•on^sed Use o'�udmng Gontract Pnc?et Worv, <br /> � <br /> i <br /> J[HNV E�covEtlo 7o,�77a:w'3lernur[r•.;.�:aeFl9r.cor.� <br /> $quare Footage (I'resid^nt�a1 new conslruGlon, remod�l or adcillon) Contacl PerSonlContact Number/Ema�l <br /> � 1 control, 6 devices '. <br /> ! `.cmGer e'de�ices Qf low vollage) �� <br /> SYSTEM/ REPLACE SECURITY SYSTEM <br /> I �esu�Pti�n of�r1o�k to de Danp — -`— -- - -- <br /> , REPLACE DEVICE AND PARTS CCTV REPLACE WIRE ! <br /> � -- -- - - ---- � <br /> ret <br /> �. CITY OF EVERETT LOCAL SALES TA%CODE IS 7106 ��OO I <br /> I � r.emby certil5'Inat!liave reaC and etammed trus applrcabon and know t�e .:ame to De true�ntl __ _ � <br /> I carecf .Cr�prev�s�orrs a!laws and atl�nances qoverning th�s typ of waA w�l�oe completed - --- --- <br /> rJ;ef�er Spenhetl herem or nof Tne granung ol a permit does not presume to g�ve aumonry to PERt41Tlt � <br /> ; :�oiate a tancel the provis�ons o!any o�he�state or local lari regulafmg ronsVucfron or the p " / <br /> peAormancc o!construct�on T�at/anr au!harzed by 7hN o,vner of tni, prop%��ry fo peAorm the E �y7 ' (�/�/ - D/� <br /> v,,yA fc�wRrch apphcation rs ma0e ard I ccmply�yith MC State Contrac�ors Las t8 27 RCIh�and �� � � <br /> :9ti 10B W.1C <br /> bPq w'�f:�i�u�Lw�t <br /> Jennifer Covello `::�':." �:�,:�.::�°_:. 11 /12/2014 <br /> o..�n�:�c����:o�<rn � <br /> SiqnaWre Date <br /> ' __ ..._ .. . � <br /> .. .. ..� .�....•.�.- <br /> . ..--- - ---- ---- -' <br />