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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 • FAX a25•257-8857 — www everett�va org <br />a-ir-iy <br />���va-os9 <br />4231 Rucker Ave <br />PROJECTADDRESS <br />Stiletti 4231 Rucker Ave EVERETT 98203 �zs-zGE-5839 <br />OwnCf <br />1Aad naEfess <br />Gty <br />Slale�L; <br />P�one <br />�e� <br />Tenan[ '.�i�i �+aC•c,s Ci:y S:a;er��.p Pnonc <br />ADT LLC 1'1024 NORTHCREEK PKWY N gOTHELL, WA 98201 z06-774-9G99 <br />EleclncalContWclor 1.1a�lAEd�es; Gly Stale�?�p Phone <br />ADTLLL*881 DO $198.00 <br />S;a;e l�cense Number Contr��( Fr�ce o' Worl, <br />Commel'Clal jennifer@nwpermit.com <br />Proposed Vse ol8uddina <br />Square Footage (II residential new conslrucUon, remodei or addroon) <br />1 Control/ 5 devices <br />Number ol devices (II low voltage) <br />Contact Person (Pian Rev�ew) <br />Descnptiono!WoiF.toBeOone Intrusion Alarm Installation with Cellguard <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hrroGy ceiLly fheill have ivad. nd or�nrineJ tltis.pphcahon �ndWio���fho sanro fo Gu 7ruo anJ <br />co�rect AH provis�ons ollaws and orcl+nances guvenring ffris t}�po o! woA� wdl be comple(ed <br />whelhr.r 5petrfind herern or rroL Thn ��nn(ing ol a permil does not prvsume Io grvo authority fo <br />vr01alP or conCol lho pNvis�ons O�, ny o(her slatc or loc:�l law «�gulahn� rons(n�r.hon or fho <br />peAonnance of mnsfmUion. Thof I am aulho�uiid by lhe owncr ol lhrs p�operty !o pedo�m Ihc <br />wo� lor whicb applicafion rs mado . nd 1 compty wilb (he Stnfe Con�ncfors Law 18 27 RC'.N and <br />?96 200 WAC <br />.lennifer Covello "� ��' ���"""" 02/03/2014 <br />�; : ., ,�::s. <r.� <br />Signalure �atc <br />Fc��;acJ i^.JiJ <br />FEE <br />�0 °`� <br />Nearm n <br />E � y o2-05 � <br />