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ELECTRICA�, PERIGI��T APPI��CATION <br />CITY OF' EV�RETT PER��T SERVIC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX �25-257�8857 — www.everettwa.org <br />1730 112th Sfireet SW BLDC H Everett WA, 98204 <br />PROJECT AADR�SS <br />Sage Apartments c/o �quixy �j� UnIVG�'S���/ S�. Seatt�e <br />Owner Mail Aadresa city <br />Sage Aparkments 1730 112th Street SW Ev�rett <br />Tenant <br />Ntall Address <br />Gty <br />GU��"dlaCl S@CUC'Itj/ 1743 First Avenue South Sea�t(e <br />ElectnGal Contractor Maif Address <br />�33443 <br />State License Numb�r <br />Building <br />Proposed LfsE of Building <br />20a0 <br />Square Footage (If residential new construction, remodel or addition) <br />� <br />Number of devlces (Ii low voftage) <br />WA, 98�0� <br />Statei7_ip Phone <br />WA, 98204 -oa�,°o6,0 <br />Statc/Zlp <br />Phone <br />1I N �, 9813�4 z�n,�'7,n?nn <br />Clty Statc/Zip <br />250�00 <br />Contract Price of Work <br />Casey Walsh <br />Contact Person (Pian Roview) <br />Phone <br />Install�tion of an A�S r��dio transmitfier to monitor the existing FACP <br />I�escrip#ion of Wo�k #o Be Done: <br />ClTY OF �V�RETi LOCA�. SA�ES TAX CODE IS 39Q5 <br />I her�by certlfy fhat 1 have r�ad and examined fhfs applfcatlon and know the same fo be hrue end <br />correct. All provisions of Igws snd or'dinsnces goveming thrs typQ of wortc will be complcted <br />whefher specified herein or ��of. The granting of e permlt does not prssume lo glve authorlty to <br />vrolete or cancel the provr'sions of any otherst�te orlocal law r�gulating construction or fho <br />pertormance of corlsfrucfion, Thaf I am authorized by Ehe owner of thr's praperly fo perform the <br />worlc for which application rs made and I cornp/y with the 5tate Contractors Law 18.27 RCW and <br />296.200 WqG. <br />0��'22/201 � <br />REVISCD .32QM 9 <br />FEE <br />�G' ��� <br />AERMIT# <br />E j`����-���Z <br />