305 SE EVERETT MALL WAY VJ NAILS 2017-05-23

To: E Page 1 of 4 2016-05-23 00:20:01 (GMT) 18884000383 From: Deborah Shields ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits i ROJEPT SITS iNFORMATIQN. '. PROJECT ADDRESS:305 SE EVERETT MALL WAY BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE SFR-DETACHED I FR-ATTACHED UPLEX MULTI-FAMILY-#OF UNITS: COMMERCIAL [USE OF BUILDING: kLE TRH AL APP_iL ION INFORMATION . CONTRACT PRICE OF WORK: $500 tYA NUMBER OF DEVICES(if low voltage):4 FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: ri V-0 CCTV SYSTEM CONTACT INFORMATION . OWNER NAME: VJ NAILS AND SPA TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 305 SE EVERETT MALL WAY CIT y EVERETT STATE WA z,P 98208 OWNER PHONE:425-346-1456 OWNER EMAIL: CONTRACTOR NAME:ADT LLC CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 c,T,BOTHELL STATE WA ZIP 98011 CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENN I FER@N WPERMIT.COM CONTRACTOR LIC.#(REQUIRED):ADTLLL'881 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED)050955 PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR W THER(Please Specify) JENNIFER COVELLO/AGENT CONTACT NAME: CONTACT PHONE:206-774-9499 JENNIFER COVELLO CONTACT EMAIL:JENNIFER@NWPERMIT.COM AGREEMENT.'T hereby certify that t have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this 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 the provisions of any other slate or local law regulating construction or the performance of construction. That I am authorized by the owner of property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE Digitally signed by Jennifer PERMIT# Jennifer Covello co'eDate:2016.05.22 17:12:03 05/22/2016 -07'00' Ef)j..Date:2 �OD5, OwnerlAuthorized Agent Signature Date (Revised 10/12/2015)