3105 LOMBARD AVE MIND BODY HEALING CENTER 2016-08-08

Now ELECTRICAL PERMIT APPLICATION 3 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 —www.everettwa.org I 8105 Lombard Ave,Everett, WA 98201 i 1 PROJECT ADDRESS Owner Mail Address City State/Zip Phone E Mind Body Healing Center 3105 Lombard Ave Everett W/ 98201 Tenant Mail Address City St ate/Zip Phone S. at Guardian Security Systems, Inc. 1743 First Ave Seattle V 1tA/981 34 Electrical Contractor Mail Address City StatelZip Phone GUARDSS233K5 033443 I State License Number(requires) City of Everett Business License Number(required) I 250. Proposed Use of Building Contract Price of Work Karina Veliz/206.349.5889/kveliz@guardiansecurity.com ................... _ _ _.__.._.._..._. Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email --- __........._............._................. Number of devices(If low voltage) security system: running 50 ft. of wire from new phone block to panel. Description of Work to Be Done: i s 1 I f FEE CITY of EVERETT LOCAL SALES TAX CODE IS 3105 0, i I hereby certify that I have read and examined this application and know the sarne to be true and � correct. All previsions of laws and ordinances governing this type of work will bre completed whether specified herein or not. The granting of a permit does not presume to dive authority to PERMIT# violate or cancel the provisions of any other state or local taw regulating construction or the performance of construction. That f am authorized by the owner of this property to perform the E' I �j ��- 001 D0I work for which application is made and 1 comply with the,State Contractors Law 18,27 RCW and 296.27A, 00 7AC. i _� I Sig afore Date f REWSED 0"&'?014