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05-13-16; 11 : 44AM; From:Evergreen Security Inc. To: 4252578857 ;4253538934 # 2/ 2 <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.overettwa.org <br /> 8102 Evergreen Way <br /> PROJECT ADDRESS <br /> Everett 4 Corners LLC 6350 E Thomas Rd STE 230, Scottsdale AZ 85251 <br /> Owner Mall Address City State/Zip Phone <br /> Everett 4 Corners 8102 Evergreen Way Everett WA 98203 206-423-4639 <br /> Tenant Mail Address City StateZp Phone <br /> Evergreen Security 8115 Broadway#101 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mall Address Clty State/Zip Phone <br /> EVERGSI112L2 039160 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $3117.00 <br /> Proposed Use of Building Contract Price of Work <br /> Mary Kelp 425- 48-385Q <br /> Square Footage(lf residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> accounting@evergreensecu rity.com <br /> 15 <br /> Number of devices(if low voltage) <br /> Description of Work to Be Done: Install Security Alarm System <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 hereby certify that!have read and examined this application arrd knaw the same to be true and 15,f& <br /> correct. Ail provisions of laws and ordinances governing this type of work wilt be completed <br /> whether specified herein or not. The granting of o permit does not presume to give authority to PERMIT# <br /> vialata or cancel the provisions of any other state or local law regulating construction or the 1k)5-°performance of construction. That I am authorized by the owner of this property to perform ti c <br /> work for which application Is made and I comply with the State Contractors Law 18.27 RCW end <br /> 206.200 WAC. <br /> k 413 PO <br /> igna re Date <br /> REVI H,uFyufi201d <br />