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lo L 1 npn i u/� JO�.�.OS.1% ��i.n� Cl! ICIMI') ���I�H.1U(�OJe�� 1 rur�� Onunrnn �.ti�nry�� <br /> • - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org 5 _a a - �L` <br /> �)�fd,�-l�lZ <br /> 5507 PARKVIEW LANE <br /> PROJECT ADDRESS <br /> NANCY Cl�RLSON 5507 PARKVIEW LAN[ EVERETT WA 98203 a25sasszso <br /> Owner Mail Atltlress Cily Slate2p Pnone <br /> NANCY CARLSON 5507 PARKVIEW LANE EVERETT �NA 98203 <br /> TOnan� M11afl Atldress Ciry Stale2ip Phonc <br /> ADT LLC i1824 NORTHCR[EK PKWY N gpTHELL, WA 98201 2�6-774-9499 <br /> Eiettncal ContraUor Mall AtlUiess uly Staee2ip Phone <br /> ADTLLL*881 DO 127.00 <br /> State License Number Contract Pnce of WorA <br /> RESIDENTIAL jennifer@nwpermit.com <br /> Proposetl Use ot E3udaing GonWct Person (Plan Review) <br /> Square Footage(If residential new construction, remode�or adtlition) <br /> 1 Control/ 2 Devices <br /> Number of devices QI low voltage) <br /> BHS BROADVIEW ADD-ON CELL GUARD// BHS DEVICE ADD AND WIREII <br /> Description ot Work to Be Done- <br /> BHS ADD-ON INSTALL CELL GUARD RADIO <br /> r�r -- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �O� <br /> 1 horeby ce�tily fhnl l huve read and oxanrined fbis application and know fha sarno fo be Inm and _____ <br /> r.omecf nn��o��s�o��s oi i,ws,�,d oM��,ancos governu�g this fypo ol wo�k will ho conrplofed -- <br /> whother specdied horein or noL The qranling ol ri permil Jaos nnt prosume�to give a:dho�ity fo P�RMII�tJ <br /> violale or canr.el tho pmvisions o!any olher sfo(e or local law regulating con5lniCfion or tho r ' 1 <br /> pe�fom�ance ol construction. Tha!I am au0ionzerl by tho ownero((hrs propr.rty fo padonn Ihe E I�O"/ I l..{-� <br /> work for which apphcafion is mado mid I cornply wi(h fhc Sfa(c Conlrncfois Law 18.27 RGW and � _ � <br /> zsc zoo wnc <br /> �„y <br /> .lennifer Covello r�;��`����=��"�'"�'"' 05/22/2014 <br /> o..im�n�n ouw<.¢�: <br /> SignlWrC 011e <br /> r.c�r,Fn v;:�q <br />