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To E Page 1 012 201�-07-'la 16 11 0� (GMT) �98t3a0003II3 From Deborah Shields <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 962Q1 <br />425-257-8810 - FAX 425-257-8857 — www everettwa.org <br />� ���( v�� <br />3305 Nassau St <br />PROJECT AODRESS <br />Washington Center (or Pain 3305 Nassau St F_verett WA 98201 a25a92-Sa37 <br />Ownef '.ta�l AOEress Gry SlatefZ�p Pnone <br />Washington Center tor Pain 3305 Nassau St Everett WA 9820� �z5-a92-Sa3� <br />Tenan[ hlad AtlCress Cdy Statel'u0 Pnone <br />ADT LLC �1824NORTf{CREEKPKWYN gOTHELL, WA 98201 206-774-9499 <br />Electncal Contractor �dail nddress Cdy <br />ADTLLL*881 DO <br />State License Number <br />Commercial <br />Pioposetl Use of Bwtdma <br />Square Footage (If residenUal new construction remodel or addition) <br />1 Control/ 3 Devices <br />NumbEr OI device5 (II low voltage) <br />Stale/Z p <br />20�.�� <br />Ppone <br />Coniract Pnce of Work <br />jennifer@nwpermit.com <br />Contact Ferson (Plan Rev�ew) <br />ADD DEVICE /I�ELOC/1TE DEVICE AND WIREl/ U''Dl1TE COMPONEM S <br />OestnpLon of Work to [3e Done <br />ADD DEVICE AND RELOCATE TO ENHANCE SERVICES <br />FEE '� ^ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />1 hureby coridy fhn( I have iead and e�anuneU fhis apphcation and kno�a fhr sarne to Ge f�uo and <br />cunecf All prov�sions o! laws nnd ortlrnancos qoveming fhis lypo ol wo�k �rill bo compleled <br />whelher spccdied herein or rrot. The ��enting of a permil does nol prosumo fo Grvu aufhority (o PERMIT# <br />violafe or canccllbo pruvisrons o! any oUwr stafc or local law regulafing consmrefion or 8�c � <br />pedorrnance of conshuc(ion. Thal ! am aulhun�ed by Ihe owner ollhis property (o pedonn fhe E 1��n � � O <br />�vaw lor which applicalion is madc and I comply �vi(h flie Sfa(e Conlrac(ors Law iB 27 RCW and � �L <br />296 200 WAC <br />nry, vM.. <br />.lennifer Covello R,��"��" "�'" 07/14/2014 <br />�,.�,��,,;,;: .�i.� <br />�_,,:_, Ur�» <br />