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09/18/2015 10:35 Page 2/2 <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 /> _ 7100 Evergreen Way#A <br /> PROJECT ADDRESS <br /> Windermere Real Est Commercial, 7100 Evergreen Way#A Everett, 98203 425-740-2250 <br /> Owner Ma Address City Stated, p Phone <br /> Windermere Commercial Real Estate, 7100 Evergreen Way#A Everett, 98203 425-327-5988 <br /> Tenant Mail Adernss City Statel/tp Phpne <br /> Evergreen Security 8115 Broadway#101 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mall Address C y State/Zip Phone <br /> EVERGS1112L2 039160 <br /> Stale License Number(required) City of Everett Business Lioenrse Number(regUired) <br /> Commercial $305.00 <br /> 'rotxased Lae of Building Contract Price of Work <br /> Mary Kelp 5-348-3850 <br /> Square Footage(if residential new conatruction,remodel or addition) Contact PersonfC.ontae!Number/Emig <br /> accountingtevergreensecurlty.com <br /> 3 <br /> Number of devices(if low voltage) <br /> Description of Work to Be Done: Relocate existing motion&keypad, install new hardwired door <br /> contact <br /> FEE <br /> CITY Of EVERETT LOCAL SALES TAX CODE tS ani s5.(. <br /> I hereby certify that l have read end exenthed this spp&atton end/chow the Berrie to be Prue and <br /> correct All provts ons of laws and ordinances Bove i ing this type°I wo*wil<be completed <br /> whether specified herein or not. The(potting of a pemalt does not presume to give avthomy fa PERMEIT# <br /> vi /&a or cancel the provisions of any other state or local law regulating construction or the �� ` <br /> U <br /> perlcvmance of construction, That i am authorized by the owner of this property.to perk=.fly -.O <br /> work for which application is made and!comply with the Slate Contractors Law 18.27 RCW end <br /> 296.200 WAC <br /> 91811 <br /> &endure - to <br /> REVISED OtA 1111114 <br />