Laserfiche WebLink
To: E Page 2 of 2 2016-08-18 12:27:29(GMT) 18884000383 From: Deborah Shields <br /> 4"cn- tLECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov i www.everettwa.govlpermits <br /> ... PROJEG,' , SI'T`E INFORMATION„ .. . . <br /> PROJECT ADDRESS:7815 EVERGREEN WAY STE 1 <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, APPLICATION.INFORMA "ION : <br /> CONTRACT PRICE OF WORK: $100 <br /> NUMBER OF DEVICES (if low voltage): 1 <br /> FIRE ALARM? ❑YES ✓ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: <br /> ADDING TO EXISTING LOW VOLT SECURITY SYSTEM <br /> CON . G'T` INFORMATION <br /> OWNER AME: EVERGREEN ASIAN MARKET TENANT NAME(If Commercial): <br /> OWNER (LING ADDRESS: STREET 7815 EVERGREEN WAY STE 1 <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE:425-265-7900 OWNER EMAIL: <br /> CONTRACTOR NAME:ADT LLC <br /> CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 <br /> cITYBOTHELL STATE WA Z,P 98011_ <br /> CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM 7"-- <br /> CONTRACTOR LIC.#(REQUIRED):ADTLLL*881D0 CITY OF EVERETT BUSINESS LIC.#(REQUIR )050955 <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ✓ OTHER(Please Specify) JENNIFER COVELLO/AGENT <br /> CONTACT NAME: CONTACT PHONE:206-774-9499 <br /> JENNIFER COVELLOCONTACT EMAIL:JENNIFER@NWPERMIT.COM <br /> AGREEMENT'T hereby certify that/have mad 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/ <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> S .O ® <br /> Digitally signed by Jennifer PERMIT# <br /> Jennifer Covello`Cove1008/17/2016 <br /> Date:2016.05.22 17:12:03 EZ laO% r Ot <br /> -07'00' <br /> Owner/Authorized Agent Signature Date (Revised 10/12J2015) + <br />