Laserfiche WebLink
.�. ..� . zo+r.o.r.�z ao z\ on mmrr innn.r000aue r•.u... o�no...n sn.�iu. <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320D CEDAR STREET, EVERETT. WA 98201 <br />425.257-8810 - FAX 425.25 7.8857 — w.,m ever ett va org <br />4367 Rucker Ave <br />PROJECT ADDRESS <br />Northwest Denture Center 4367 Rucker Ave EVERETT WA 98203 425-259.2800 <br />Owner Mail Address C,4 State/Zip Phone <br />Northwest Denture Center 4367 Rucker Ave EVERETT WA 98203 <br />Tenant <br />ADT LLC <br />Electrical Contractor <br />ADTLLL*881 D <br />State Lcense Numcer <br />COMMERCIAL <br />Proposed Use of Building <br />Mad Address City State/Zip Phone <br />11824 NORTHCREEK PKWY' N BOTHELL, WA 98201 206-774-9499 <br />Mad Address City Slate/Zip Phone <br />O 199.00 <br />Square Footage (It residential new construction, remodel or addition) <br />1 Control/ 3 Devices <br />Number of devices (It tow voltage) <br />Contract Prce of Won. <br />jennifer@nwpermit.com <br />Contact Person (Plan Review) <br />Description of Work to Be Done Adding Cellguard to Existing Intrusion Alarm <br />FLL06 <br />rr <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 /� — <br />I hereby certify that l have road and examined this application and know the same to be true and / (� <br />correct. All provisions of laws and ordinances governing this type of walk will be completed <br />whether specirted herein or not. The granting of a permit does not prostrate to give authority to PERMITd <br />violate or cancel the provisions of any othor slate orlocal law regulating construction or file t O 0 <br />petfonoance of construction. That I am authorized by the owner of this property to perform the t l <br />work for which application is made and I comply with the State Contractors Law 10. 27 RCW and <br />2. 5.200 WA <br />Jennifer Covello 04/22/2014 <br />".yTwNCarY\r)tye� <br />o.. arm a mac<eor <br />Signature <br />REVISFO7711113 <br />