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To: E Page 2 of 4 2016-12-14 15:22:45 (GMT) 18884000383 From: Deborah Shields <br /> • <br /> Orm-Tr ELECTRICAL 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 1 www.everettwa.govtpermits <br /> PROJ CT SITE INF fRMA ION - <br /> PROJECT ADDRESS:9605 7TH AVE SE <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 /> EL ECTRIICAL APPLICATION.INFORMATION •. <br /> CONTRACT PRICE OF WOR $200 <br /> NUMBER OF DEVICES(if low volt e):1 control and 3 devices <br /> FIRE ALARM? 0 YES V( NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> LOW VOLT SECURITY SYSTEM <br /> CONTACT II IFORMATI+ON <br /> OWNER NAME: ANOTHER BEST CHILDCARE TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET9605 7TH AVE SE <br /> CITY EVERETT STATE WA 7,P 98208 <br /> OWNER PHONE:425-231-3501 OWNER EMAIL: <br /> CONTRACTOR NAME:ADT LLC <br /> CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 <br /> CITY BOTHELL STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM <br /> CONTRACTOR LIC.#(REQUIRED):ADTLLL*881D0 CITY OF EVERETT BUSINESS LIC.#(REQUIRED)05O95555 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR Y 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 l 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 properly to perform the work for which application is made and I <br /> comply with the State 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 Cove1012/13/2016 <br /> Date:2016.05.1206:15:06 C C ` O( <br /> -0700' ` ` <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />