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07-13-16;01 : 01PM;From: Evergreen Security Inc, To: 4252578857 ; 4253538934 # 2/ 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-6857—www.everettwa.org <br /> 6500 Evergreen Way B-101 <br /> PROJECT ADDRESS <br /> Special interest Autobody-6500 Evergreen Way B-101, Everett WA 98203 425.231-2912 <br /> Owner Mail Address City SlalefZlp Phkine <br /> Same <br /> Tenant Marl Address City StateIlp Phone <br /> Evergreen Secuj y 8115 Broadway#101 Everett WA 98203 425-348-3850 <br /> Electrical.Contractor Mall Address City StOleala Phone <br /> EVERGS1112L2 039160 <br /> State License Number(required) City of l=verett Business License Number(required) <br /> Commercial $5098.50 _ <br /> Proposed Use of f9uitding Contract Price of Work <br /> Mary Kelp 42.5-348-3850 <br /> Square Footage(If residential new construction,remodel or addition) Contact PersoriContact Number/Entail <br /> accounting@evergreensecurlty.com <br /> 17 <br /> Number of devices Of low voltage) <br /> Description of Work to Be Done: Installation of Security Alarm System <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 + %5, <br /> I hereby certify That I have read end examined this application and know the same to be true Ona I <br /> correct. Ail provisions of laws and ortltlnanaes governing MIS type of work will be completed <br /> whether specifiorl horain or not The granting of 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 �� p`�j/�) _ � <br /> performance of construction. That I nm authorized by flee owner of this property to portbrm the <br /> work for which application is made and I comply with the Stele Contractors Law 18,27 RCW end <br /> 296.200 W C. <br /> 7113116:4-QR <br /> Signa ure bate <br /> REVISED 0 2014 <br />