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To E Page 1 of 2 2015.04-28 01 25 29 (GMT 18864000383 From: Deborah Shields <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, lNA 98201 <br />425-257-8810 - FAX 425-257-8857 — wwrj everettwa.org <br />2804 Grand Ave Ste 308 <br />FRDJEL;T ADDRESS <br />� $ I -5O L4 —0 <br />y-a-B—IS <br />Dargey Enterprises Insurance 2804 Grand Ave Ste 308 EVERETT WA 98201 <br />Other Mad Address Cry <br />Dargey Enterprises 2804 Grand Ave Ste 308 EVERETT <br />Tenant Mal Address cry Slatel?Jp <br />ADT LLC 11824 NORTHCREEK PKvVY N #105 BOTHELL, WA 98011 <br />Electrical Contractor Mau Address <br />ADTLLL*881 DO <br />State License Number (required) <br />Commercial <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />1 control, 12 devices <br />Number of devices (If low voltage) <br />City <br />Statel2Jp <br />WA 98201 <br />State/Zip <br />Phone. <br />425-330-1148 <br />Phone <br />206.7 74-9.199 <br />Phone <br />050955 <br />City of Everett Business License Number (required) <br />3400.00 <br />Contract Price of Work <br />JENNIFER COVELLO 206774-9499 JENNIrCR(9N W PERMlT.COhI <br />Contact PersonfContact Number/Email <br />Description of Work to Be Done Installing new low volt security system. <br />FEE _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I I- <br />I hereby certify that I have read and eiammed this application and Anow the same to be true and <br />correct All provisions of laws an-1 ordinances governing this type of work will be completed - whether specified herein or not The granting of a permit does not presume to give authority to PERMIT# <br />violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the I04 - 5 <br />work for which application is made and Icomply with the State Contractors Law f8.27 RCW end <br />296 200 WAC <br />04/27/2015 <br />Jennifc,r Covello ""'"'-""�`"'""""""' 1 u �n.r 1121 +ogn+ein rur <br />Owe. OR I. n q ]3 )t aT%' <br />REwSE005V61014 <br />