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- �2�0- � � _ <br /> 1 <br /> '� ELECTRICAL PERMIT APPLICATION � <br /> � CITY OF EVERETT PERMIT SERVICES I <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857 —www everettwa org I <br /> i <br /> � <br /> �, 11114 Evergreen Way, Everett, WA 98204 i <br /> I PROJECT ADDRESS I'i <br /> 0'Nn2' ��tail Aa9ress Gly SlaterDp pnone �I <br /> ' Evergreen Center Bldg. B 11114 Evergreen Way EV2f2tt WA 982C14 � <br /> I lenan; '.tar.Aotlress GiW State�Z�p Pno�.e I <br /> Guardian Security Systems 17�13 FI�St Ave SOUth, Seattle WA 98134 �LL°" ; <br /> G�ectr caI Con;racto� r.ta i rmeress C�W Sate�Ln �^one <br /> GUARDSS233K5 ���• ' <br /> � Sta;e L�cense Nur+ber Contraa Pnce o(lVork � <br /> � Karina Veliz 206.349.5889 <br /> �', Proposetl Use o!E3m�tl�ng Contact Person �Pian Review) '� <br /> I I <br /> ' Square Footage p!residential new consiruchon, remotlel or adtlrt�on) i1 <br /> il1 i <br /> Number of dev�ces(If b�v voltage) i <br /> � Low Voltage: Adding 1 smoke detector to existing FACP. � <br /> ' Descnption ol Work to Be Done I <br /> I <br /> j I <br /> i � <br /> i <br /> � FEE <br /> I CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 �� �O- —� <br /> 1 he�eby certr(y thaf/have read and e�amined fhrs appl�caGan and kno�v fhe same fo hc ln�r, and <br /> correr,f 411 provisions ol laws and ordmances 9overnrrrg lhrs type nl n-ort ivdl Ae cunplefed <br /> m�hether speci�ed hcrern or not The gnn6ng o/a permit does nof preswne to give aufhonty lo PERMfT« <br /> wolafe or cancel the provisions ol any ofhe�sfate or local law�egulahng consWc6on or fhe .-� <br /> pr.Aonnr�nce o/consfmctron. Tha(I am aufhonzed by!he owner ol fhis p�opeRy(o periomi fhe E i � O 7-0�-('g <br /> �vork lo�:ih�ch applicar�on is mede and I comply wdh tne State Confraclors Law 78 27 RCW antl <br /> ?96 20o wac f <br /> .����-��� �� � 1 1'-I <br /> , <br /> S�gnalure Dale <br /> aev�seo.�rzau <br />