1519 132ND ST SE A IRG MURPHYS CORNER 2017-06-07

To: E Page 4 of 5 2016-05-19 21:15:57 (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 J www.everettwa.gov/permits PROJE+GT SLTE tNi:C?RMATION PROJECT ADDRESS:1519 132nd ST SE STE A BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE SFR-DETACHED I FR-ATTACHED I I UPLEX I MULTI-FAMILY-#OF UNITS: ✓ COMMERCIAL uSE OF BUILDING:COMMERCIAL I�LECTRICAI. APPLIC:gTipN'IN1=0tMAT�ON CONTRACT PRICE OF WORK: $200 NUMBER OF DEVICES(if low voltage):4 FIRE ALARM? ❑YES I I/ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: LOW VOLT SECURITY SYSTEM C6111NIITACT INFORM,ATIONE. . OWNER NAME: MURPHY'S CORNER PHYSICAL Tib TENANT NAME(ItCommercial):MURPHY'S CORNER PHYS OWNER MAILING ADDRESS: STREET 1519 132nd ST SE STE A clTy EVERETT STATE WA ZIP 98203 OWNER PHONE:425-349-9692 OWNER EMAIL: CONTRACTOR NAME:ADT LLC CONTRACTOR ADDRESS: STREET 11824 NORTHCREEK PKWY N #105 CITYBOTHELL STATE WA ZIP 98011 CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM CONTRACTOR LIC.#(REQUIRED):ADTLLL'881 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED)050955 PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ✓ 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 I 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 he 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 stato or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE IC5, 0� t Digitally signed by Jennifer Covello PERMIT# x I y jf 4 DN cn=Jennifer Covello,.c ou, 5l 19/2016 M r .Da cul 016. 3.15wpermdcan, 0' Date:2U1 U.U3.15 10:2U:01I-UTUU' Etj �06�— Owner/Authorized Agent Signature Date (Revised 10112/2015)