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To E Pagc � ol 2 2074-06-23 03 54 45 (GMT) 18884000383 Fwm Deborah Shields <br />ELECTRICAL PERI4�IT APPLICATION <br />CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FfJC 425-257-8857 — wanv everettwa org <br />3305 Nassau St <br />PROJECT ADDRESS <br />Washingion Center for Pain 3305 Nassau St Everett <br />Orner <br />Idail Addres: <br />Cdy <br />W2shinyton Center tor Pain 3305 Nassau St Everett <br />Tenant <br />I.taii ACdress <br />Cdy <br />WA 98201 425-492-Sa37 <br />Slalc2ip <br />PhonC <br />WA 98201 azs-�e2-5n37 <br />Stale/Zip <br />Phanc <br />ADT LLC ��e-4 NORTHCREEK PK4W N gpTHELL, WA 98201 Z06-774-9499 <br />Elettncal Contractor '.1ail Address C��y s�ate�z�p anor,e <br />ADTLLL*88'I DO 5666.00 <br />State L�cense Number Contract Pnt� of Worh <br />Commercial jennifer@nwpermit.com <br />Proposetl Use olBuddmg ConlatlPer,on (Plan Rewew) <br />Square Feotage (II residential new construction, remoCel or adtlRion) <br />1 Control/ 7 Devices <br />Number ot tlevices (Il lawvoltage) <br />Install new securiiy system and CCTV s;�stem <br />Descnptwn al Workto �e Oone _ <br />CITY OF EVERETT LO�AL SALES TAX CODE IS J105 <br />f horo6}� cortdy thaf ! have �eaA und oxarmned ;his application and know fho samo fo be trvo and <br />conec! All p�ovisrons o! laws and ortlrnancos ;7ovemin�7 this p�po o! work will be cnmplMed <br />whefher speci(ed herein orrrot The granling of a pem�if does nol piosume fo give autho�ity fo <br />viol;7fe or cancel lhe prowslons ol nny o(herstole o�locol law regulafing consfivction or fhe <br />pcifom�ancu o7construc(iun 7haf I am aufhon:ed by 1he owner ollhis prnperry fo perlonn fhe <br />�corfi lor a�hich appfication is maJo and I comply wilh fhc Slalc ConLacfors Law iB ?7 RCW ond <br />296 200 WAC. <br />w-+, .v..� �. ,.....e. �. <br />Jennifer Covello „;g -,:rr ;,;�" '".'.` <br />�.._,.�„��„•,<n.� <br />F� v,sc-o a:uv <br />06/22/2014 <br />FEE <br />�jb:U� <br />PERntIT» <br />E I'�o�- r�o <br />