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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 />1730 Madison Ave, Everett WA 98203 <br />PROJECT ADDRESS <br />Kingdom Hall/ John Morley 1 730 Madison Ave Everett WA/98203 <br />Owner Mail Address City StateiZip Phone <br />Kingdom Hall 11618 E Oakmont Everett WA/98203 <br />Tenant Mail Address City <br />Guardian Security Systems, Inc. 1743 First Ave S. Seattle <br />StateiZip Phone <br />WA/98134 <br />Electrical Contractor Mail Address City State/Zip <br />State License Number (required) <br />r-1UyVJCU VJC UI DUrlUilly <br />Square l-ootage (it residential new construction. remodel or addition) <br />1 <br />Number of devices (If low voltage) <br />Phone <br />City of Everett Business License Number (required) <br />250.00 <br />Contract Price of Work <br />Jen Knox/253.564.4564/jknox@guardiansecurity.com <br />Contact Person/Contact Number/Email <br />Description of Work to Be Gone. Low Voltage installation of an AES radio transmitter to monitor the existing FRCP. <br />FEE —) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 r'o D© <br />i hereby certify that I have read and exannned this application and know the same to be brie and _ <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether sp<�rified 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 ✓_ J ®� <br />performance of construction. That I 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 />f' 11/4/2015 <br />Signature Date <br />REVISED 98/06/2014 <br />