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To: E Page 3 of 5 2016-05-19 21:15:57 (GMT) 18884000383 From: Deborah Shields <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov J www.everettwa.gov/permits <br /> RROJEGT SITE ll+IiC>wRMATION <br /> PROJECT ADDRESS:305 SE EVERETT MALL WAY <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE SFR-DETACHED I FR-ATTACHED I UPLEX MULTI-FAMILY-#OF UNITS: ✓ COMMERCIAL <br /> USE of BUILDING:COMMERCIAL <br /> ELECTRO Ai:APPLICATIO11 .INFORMQTIQI+I <br /> CONTRACT PRICE OF WORK: $400 <br /> NUMBER OF DEVICES(if low voltage):2 <br /> FIRE ALARM? ❑YES ,V( NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: TELECOMMUNICATIONS WORK <br /> 'CONTACT INFORMLti7IQN <br /> OWNER NAME: VJ NAILS TENANT NAME(If Commercial):VJ NAI LS <br /> OWNER MAILING ADDRESS: ITIIET305 SE EVERETT MALL WAY <br /> CIT, EVERETT STATE WA ZlF 98208 <br /> OWNER PHONE:425-346-1756 OWNER EMAIL: <br /> CONTRACTOR NAME:ADT LLC <br /> CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 <br /> IIT,BOTHELL STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENNIFER@N WPERM IT.COM <br /> CONTRACTOR LIC.#(REQUIRED):ADTLLL"881 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED)Q50955 <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR THER (Please Specify) JENNIFER COVELLO/AGENT <br /> CONTACT NAME: CONTACT HONE:206-774-9499 <br /> JENNIFER COVELLO CONTACT EMAIL:JENNIFER@NWPERMIT.COM <br /> AGREEMENT. Thereby certify that/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 e 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 or construction. That I am authorized by the owner of this property to perform the work for which application is made and t <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> n, a Digitally signed by Jennrfer Covello PERMIT# <br /> DN cn=Jennifehnwparlo.o.ou 5/19/2016 E <br /> ; � i ., x annul iennif md can o US <br /> � Date:2U1ti.U3.15wper151U:YU:Uti-UTUU' —� <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />