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to E Page 1 of 2 2014-�0�21 00 A7 47 (GMT) 18884000383 From Deborah Shieids <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9820i <br />42r257-881Q - FAX 425-257-8857 — www.everemva.org <br />9930 Evergreen Way Ste X105A <br />PROJECT ADDRESS <br />Guarowara Guru Ram Das 9930 Evergreen Way Sle X105A EVERETT <br />o��,e� <br />Tenant <br />i.!AiI tidGlCSS <br />vde�l AdUress <br />C A'i <br />pAy <br />WA 98204 �OGE83�3170 <br />Statei7�p <br />Slate/Lp <br />Phanc <br />Plwne <br />Metrolink 914 31st Ave SE Mill Creek WA 98012 �°°,,•w�� <br />El=ctncal Contrattor �:!ail;.dtlress Gny S�at^,Zip Phone <br />METROLS940CF 053506 <br />Stete License Number (requ�retl} Crty of Everen 8usin�ss License Number (reQwred) <br />RES 245.00 <br />Proposetl Use of 9wlomg Contract Pnce ef VJoA: <br />JE1UlI�ER COVELL0:0,�77a i15? JCNNIFERid�NtVPCR1.11T.COld <br />SGuare Foomge Q1 residen!ial new tonstniclion, remodel or adddion) Co�eact Person/Contacl NumberlEmail <br />1 CONTROL, 4 DEVICES <br />Number oi devices (If lo�v volWge) <br />D?scriptionofWarlctoOeDone: InStC�ll neW SECur�ty SyStem <br />CITY OF EVEREi7 LOGAL SALES TAX CODE IS 3106 <br />� hereDy ceRdy thal I have reatl and erammed lhis appBcalron antl Anow the same (o be true and <br />conect. A/l prov�sions o/ /aws and o�d�nances yoveming this type o! work tvd! be comple(etl <br />whelher spec�0ed he�em or not The giantmg of a permR tloes not preswne to grve authonty 70 <br />vio/ale w cancel the p�ows�ons ol any ofher state or Iceal law regulafirrg consbuctron orine <br />performance of constr�ctio2 That I am authaizetl Uy the c:vner ol lhis p�operty to perform the <br />worA !or wluch apphcation is matle and I comply tvitb !he Slate Confractors La�v 18 27 RCW and <br />296.200 LVAC <br />�:�.�.`���.n.��� 10/20/2014 <br />Jennifer Covello M° .':���°, °°�-••��� m, <br />..�� a�.�m m v �s�. �<m..�� �.:s <br />Signaturc Dale <br />aEP�`L^C.4`G:^. i. <br />FEE O <br />�� � <br />PERMIT# <br />E�jl`��D�O� <br />