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To: E Page 2 of 3 2016-08-09 17:17:54 (GMT) 18884000383 From: Deborah Shields <br /> RECTRICAL PERMIT AP ICATI N <br /> O <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATIOI+I <br /> PROJECT ADDRESS:2027 BROADWAY <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE SFR-DETACHED SFR-ATTACHED DUPLEX'. (MULTI-FAMILY-#OF UNITS: _ ✓ COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL 1PPLICATION INF.ORMA'TION <br /> CONTRACT PRICE OF WORK: $800 <br /> NUMBER OF DEVICES (if low voltage):6 <br /> FIRE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> LOW VOLT SECURITY SYSTEM <br /> CONTACT INFORMATION <br /> OWNER NAME: ANDERSON FIREPLACE TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET2027 BROADWAY <br /> CITY EVERETT STATE WA ZAP 98201 <br /> OWNER PHONE:425-359-0251 OWNER EMAIL: <br /> CONTRACTOR NAME:ADT LLC <br /> CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 <br /> C,TYBOTHELL STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM <br /> CONTRACTOR LIC.#(REQUIRED):ADTLLL*881 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED)050955 <br /> . <br /> PRIMARY CONTACT: El OWNER El CONTRACTOR ✓ OTHER(Please Specify) JENNIFER COVELLO/AGENT <br /> CONTACT NAME: CONTACT PHONE:206-774-9499 <br /> JENNIFER COVELLO CONTACT EMAIL:JENNIFER©NWPERMIT.COM <br /> AGREEMENT T hereby certify that I have read and examined this application and know the same to be true and correct, All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the Stale Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> • Digitally signed by Jennifer PERMIT# <br /> Jennifer Covello'cDDate:Ve"2016.05.22 17:12:03 <br /> ° 08/09/2016 9 <br /> • C I r O �� <br /> -07'00' C ` lQ lJ o <br /> OwnertAuthorized Agent Signature Date (Revised 10/12/2015) <br />