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To E Page 1 of 2 <br />2015-02.2517:4720 (GMT) <br />18884000383 From Deborah Shields <br />9505 19th Ave SE #106 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />1200 CEDAR STREET, EVERETT, %1VA 98201 <br />425-257-8810 - FAX 425-257-8857 — war7J averem:-a.org <br />IS02-o4S <br />a —"2-s `' S <br />PROJECT ADDRESS <br />Wetland Resource 9505 19th Ave SE #106 EVERETT WA 98208 425-337-3174 <br />Owner <br />Mad Address <br />coy <br />Giatcr:;p <br />Phone <br />Wetland Resource <br />9505 19th Ave SE #106 <br />98208 <br />425337-3174 <br />Tenant <br />Mail Address <br />Cdy <br />state/Zip <br />Phone <br />ADT LLC <br />11824 NORTHCREEK PKWY N#105 <br />BOTHELL, <br />WA 98011 <br />2067749499 <br />Electrical Contractor <br />Mail Address <br />City <br />Siate7Zp <br />Phone <br />ADTLLL*881 DO <br />State License Number (required) <br />COMMERCIAL <br />Proposed Use of Building <br />Square Footage (If residential new construction. remodel or addition) <br />1 CONTROL I 18 DEVICES <br />Number of devices (If low voltage) <br />City of Everett Business License Number (required) <br />1000 <br />Contract Price of Work <br />JENNIFER COVUL0206.774-9499 JENNIFCR®NWPERur.c061 <br />Contact PersonlConlact Number/Email <br />Description ofWork toBeDone . Installing new low voltage security system. <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 l - 00 <br />I hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed -------- <br />whether specified herein or not. The granting of a permit does not presume to give authority to PERM I I r <br />violate or cancel the provisions of any other state or local law regulating construction or the r I O� <br />performance of construction That I am authorized by the owner of this property to perform the t <br />work for which application is made and I comply with the State Contractors Law 48.27 RCW and <br />296.200 WAC <br />Jennifer C ovello . a':;" "�02/25/2015 <br />sr-1 M <br />>IO r1a W i C Date <br />R3w,ccoa 70f4 <br />