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To: E Page 2 of 3 2016-04-14 20:33:02 (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 www.everettwa.gov/permits <br /> B�Ft3J�CT;Sl1P ?lL+I�C3RM�lTIQM <br /> PROJECT ADDRESS:2730 W MARINE VIEW DR <br /> BUILDING AREA(if residential, new construction, remodel,or addition}__. SF <br /> BUILDING TYPE SFR-CJETACHED --FR-ATTACHED I UPLEX MULTI-FAMILY-#OF UNITS:._,..__ COMMERCIAL <br /> uSE OF BUILDING:COMMERCIAL <br /> E�ECTRIGAL ARP� CA�i0A1 !NF[;RMTI�iR11 <br /> CONTRACT PRICE OF WORK: $600 <br /> NUMBER OF DEVICES (if low voltage):4 <br /> FIRE ALARM? 0 YES I I/ NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: LOW VOLT SECURITY SYSTEM <br /> G4WTACT I�1FQR�tRAT1Qt,1 ; <br /> OWNER NAME: AT LARGE BREWING TENANT NAME(If commercial):AT LARGE BREWING <br /> OWNER MAKING ADDRESS: 111:-IT2730 W MARINE VIEW DR <br /> EVERETT STATE WA F 98201 <br /> OWNER PHONE:425-324-0039 OWNER EMAIL: <br /> CONTRACTOR NAME:ADT LL.0 <br /> CONTRACTOR ADDRESS: sTREFT 11824 NORTHCREEK PKWY N #105 <br /> -IT, BOTHELLFTAT�. WA ZIP <br /> 98011 <br /> CONTRACTOR PHONE:206-774-9499 CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM <br /> CONTRACTOR LIC.#(RFQt.1IRED):AD1 LLL"8$1 DO CITY OF EVERETT BUSINESS LIC.#1,'RFQLJIRED)Q50955 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR � THER (Please Specify) JENNIFER COVE LO AGENT <br /> CONTACT NAME: CONTACT PHONE:206-774-9409 <br /> JENNIFER GUVELLO CONTACT EMAIL:JENNIFER@NWPERMIT.COM <br /> X-3REEMENT:T hereby c&rfiry that I have road and examme;d bits appficaliicin and know the same to Ix.,-tru&and corr&ct, ftfi provisions oflaws;arta'ordirlaoc�s governing(his <br /> fyt:e�of wouk will b&c:implelod whether specified horoin or not. 7h;graribm of a pcarrrlif does not presurno to give aothonty to violato or cancol the prominr'rs of any other state Or <br /> 2:caf Le w re ynlaiiny corrstn�ctiun or the perforrnanrxr of consinrciien. That l arri uutherizcd by(t:o owner of this property to perform the;work bor which application is made unci t <br /> comp'y with,the Stat&Contractors Law 18.27 fpCW and 296.200 WAC. <br /> City of Everett Off ciail U-so Only <br /> FEE <br /> �'' �lr� Uigit3lysiur,eibyJeintterCoveno PERMIT# <br /> 5 1w" DN:c Jennifer&x-vello,o,ou, <br /> rY „',�k- ,, t"'j'r email_jenniferla�w rdrrnit c;vi, <br /> c;-US 04/1 4/2 0 1 6I <br /> c —DI <br /> � <br /> Date.lU1l.U'd 5 0:2 L'tDL' UTUO- <br /> f�,r,a <br /> Owner/Authorized Agent Signature Dale (Revises(90/1212015) <br />