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03/22/2016 12:18 Page 2/2 <br /> 1 <br /> 1 <br /> 1 <br /> ELECTRICAL PERMIT APPLICATION ' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET `,WA 98201 <br /> 425-257-8$10 - FAX 425-257-1857—www.everettwa.org <br /> .2300 Merri11 Creak Pkwy#100 <br /> PROJECT ADDRSSS <br /> Labinal,LLC 231)0 Merrill Creep Pkwy#100 Everett WA 88203 425-407-6700 <br /> Owner W9 A&rms bay statoft MUM <br /> Labinal,LLC MO Merrill Creek Pkwy#100 Everett WA 96203 42537-5700 <br /> Tenant LW Address Cfty stowzip Phone <br /> Ever seen Securfty 8115 Broadway##101 Everett WA 98203 +425-348-3850 <br /> Elecbioat Cardractor Mail Address City silo 4 Phone <br /> EVERGS1112L2 039160 <br /> to License Number(required) City of Everett Business Licemse Number(raquired) <br /> Gommerclal $775.20 <br /> ropMd Use of Bultdim ContVd Pr6Ce of Work <br /> Maly Kelp 425_4348-3851- <br /> Square Footage{if residential now consiruttion,remodel or addhion) Dontaet PelreanlContact NurnbetlEmaail <br /> accounfing@ever,greensecuftty.com <br /> om <br /> 3 <br /> Number of devices(if law voltage) <br /> Description of Work to Be Hone: Installation of Access,Controf System., Install reader and dear <br /> release in electrical room by dwr 1. <br /> FEE <br /> CrfY OF EVERETi'WCAL SALES TAX CODE IS 3106 4 �i^ 00 <br /> !heweby cet*[het t ham ived and ox anvmd this application and Anow the sam to#aa kw OW <br /> coag&L Aff prc>"ons of latus and ordir w oes governing fdrls type of work will be conodated <br /> whothor spec ftsd herein ornot The granting ate paanwl does not pntsmo to 9A*aott jr(6 PEl;lMIT# <br /> vh?late or cancel tho pra;o-visfons of any offter state or local lay+r Nydaft corrsfrrd wan or ft►sr <br /> performance of consMx cul. That tam authotimd by than owowr of ftds pmperty+r to perform ft <br /> work for wMah ap{dticabon is me&anal t comply wM W State Contractors Law 18,27 RCWend <br /> 29$.=WAC <br /> ba <br /> i <br /> i <br /> r <br /> ars oacernxa <br />