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04-12-16; 09: 37AM;From:EverWn Security Inc, To: 4252578857 ; 4253538934 # 2/ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, 11VA 98201 <br /> 425-257-8810 - FAX 425-257-8867—vAm,everetiwa.org <br /> 9731 Holly Drive <br /> PROJECT ADDRESS <br /> Northside Condominlurn 9731 Holly Drive EvortiR WA 98204 425-773-6134 <br /> Owner Mail Address clty Statelzip Phone <br /> Northside Condominium 9731 Holly Drive Everett WA 98204 425-773-8134 <br /> T@nant Mall Address Oily stalelLip Phana <br /> Evergreen Security 8115 Broadway 4101 Everett WA 98203 425-348-3850 <br /> Llectrical Contractor Mill Address city StatelZip Phone <br /> EVERGE1112L2 039160 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $7493.00 <br /> Proposed Use of Building contract Prioe of work <br /> _................................ diary Delp 425-348-3860 <br /> Square Footage(if residential new construction, remodel or addluon) Contact PersonlContact NumberlEmai6 <br /> accounting@evergreensecurity.com <br /> Nuttier of devices(If low voltage) <br /> Description or Work to Be Done. Installatlon of CCTV system <br /> FEE <br /> CITY 4F EVERETT LOCAL SALES TAX CODE 16 3105 J E 0( <br /> I hereby certify drat I kava road and Qxominrrd this application and know the lama to be true and "J / <br /> ........... <br /> corT ct_ All provisions otlaws and ordinances governing this type of wolf(wNl bo complctod <br /> wnother SpocMed lnareln or nor. The granting of a permit doss not presume to give authority to PERMIT# <br /> violnto or car cot the provisions of any other state or focal taw regulating constr eotiori or the <br /> porformance of construction, That I am authorized by the owner of ibis property to perform tt)e E�J I n 6 q —OC' I <br /> worts for which application is grade and t comply with tho State Contractors Law 18.27 RCW eirid V// tx <br /> 296.200 WAC. <br /> Sl�nati.a Da <br /> aE✓rseo caPay7a1 4 <br />