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To: E Page 2 of 2 2016-09-22 13:14:18 (GMT) 18884000383 From: Deborah Shields <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OOL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 J (E)everetteps@everettwa.gov J www.everettwa.gov/permits <br /> T <br /> ........ .. <br /> T <br /> . I _, N IRO <br /> PROJECT ADDRESS:2610 COLBY AVE STE A <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPEI ISFR-DETACHED I kFR-ATTACHED I kPLEX1 I MULTI-FAMILY-#OF UNITS: ✓ COMMERCIAL <br /> USE OF BUILDING: <br /> b <br /> �AP C <br /> ,IN MA <br /> RICAL PU I4TIoN <br /> _CT <br /> CONTRACT PRICE OF WORK: $500 --, <br /> NUMBER OF DEVICES(if low voltagify 4 <br /> FIRE ALARM? L1 YES 1V1NO <br /> ASSOCIATED BUILPMa-PERMIT# if applicable): <br /> DESCRI dN OF WORK: <br /> (T-q4MM) <br /> iN <br /> c N*kT", [FORMATION <br /> OWNER NAME: FACES BY MARYANNA TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: IT111T 2610 C 0 LBY AVE STE A <br /> 11TYEVERETT STATE WA ... 98201 <br /> OWNER PHONE:425-280-0180 1OWNER EMAIL: <br /> CONTRACTOR NAME:ADT LLC <br /> CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 <br /> 11T,BOTHELL STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:206-774-9499 1CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM <br /> CONTRACTOR LIC.#(REQUIRED):ADTLLL*881 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED)050955 <br /> PRIMARY CONTACT: El OWNER EICONTRACTOR WTHER(Please Specify) J-ENN'IFER 7V'ELLO/AGENT <br /> CONTACT NAME:JENNIFER COVELLO CONTACT HONE:206-774-9499 <br /> 1 CONTACT EMAIL:JENNIFER@NWPERMIT.COM <br /> AGREEMENT T hereby certify that I 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 me provisions of any other state or <br /> local law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the Stale Contractors Law 18.27 RCIN and 296.200 WAC. <br /> City of Everett Official Use only <br /> FEE <br /> Digitally signed by Jennifer PERMIT# <br /> Jennifer Covello'covello <br /> Date:2016.05.22 17:12:03 09/21 /2016 <br /> -07'00' <br /> Owner/Authorized Agent Signature Date (Revised 1011212015) <br />