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05-13-16; 11 : 54AM; 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 425-257-8857—wiww.evereftwa.org <br /> 1817 Rainier Ave <br /> PROJECT ADDRESS <br /> Robert A Grant 1817 Rainier Ave Everett WA 98201 425-322-9644 <br /> Owner Mall Address City StateIzip Phone <br /> Same <br /> Tenant Mail Address City state/zip Phona <br /> Evergreen Security 8115 Broadway/001 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> EVERGS'112L2 039160 <br /> state License Number(required) City of Everett Business License Number(required) <br /> t - $1350.00 <br /> Proposed Use of Building Contract Price of Work <br /> Mary Kelp 425-348-3850 <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> accounting@evergreenseourity.com <br /> 6 <br /> Number of devices(If 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 3105 )471 ,t) <br /> I hereby certify that t have naiad and examined this application and know the same to be true end <br /> correct, All pmvlslons of laws and ordinances governing this type of work will be Completed <br /> whether specified herein ar 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 ��� <br /> performance of construction. Thal l 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 16.27 RCW and <br /> 296.200 WAC. <br /> :_ <0 5f�j ! tU <br /> Signature Da1e <br /> r.0V1.WD OQR7621214 <br />