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08/24/2015 04:57PM 4253538934 EVERGREEN SECURITY PAGE 02/02 <br /> • • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> 340 HEATHER ROAD <br /> PROJECT ADDRESS <br /> Kenneth Stilwell 340 Heather Road, Everett, WA 98203 425-610-4835 <br /> Owner Mail Address City State/Zip Phone <br /> Owner Occupied <br /> Tenant Mail Address City State/Zip Phone <br /> Evergreen Security 8115 Broadway#101 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> EVERGSI112L2 039160 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Residential $955.00 <br /> Proposed Use of Building Contract Price of Work <br /> Sarah J. Murray 425-348-3850 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> sarahm@evergreensecurity.com <br /> 2 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Upgrade Security Control Panel & Keypad& Recontact Door <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and know the same to be true and JJ <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the I�Q�601 <br /> performance of construction. That l am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200,WAC. <br /> sa'UYl j Mrs--q 8/24/15 <br /> Signature Date <br /> REVISED 08/052014 <br />