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12/10/2014 12:37PM 4253538934 EVERGREEN SECURITY PAGE 02/B2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereriwa.org <br />z��a Farlwral Ava <br />PROJECT ADDRESS <br />� a—/U_ �4 <br />C���U �2 -��� <br />: . . - . . . • . • r. - � � � 'T:YIIii � <br />• • <br />Unoccupied - Owners in Nursinq Home - Contact Charlotte Hammond 703-473-6617 <br />Tenent 61ai1 Address G1ty SlatelZip PhonO <br />Evergreen Security 8115 Broadway #101 Everett WA 98203 425-348-3850 <br />Elecvi�IConvac:or Me�lAtldres6 cm. state�Lp Phone <br />EVERGSI112L2 <br />Stata License Number (requirecl) <br />Residential <br />Proposed Use of Build�ng <br />Squam Foolege (II resulentiel new tonswalon, remodel or aCdition) <br />'I 5 <br />Num6er af devices (If lowvokage) <br />039160 <br />City of Everett 8usmess License Numher (raquirea) <br />$2500.00 <br />coMrea Frice or work <br />Sarah J rra�25-348-3850 <br />Coniad Per6anlQontact Num6adEmail <br />sarahm@evergreensecurity.corti <br />�escnPtion or Worx to ae oone. Low Voltaqe Residential Security System. __ __ <br />CRY OF EVERETT LOCAL SALES TN( CODE IS 3106 <br />1 horeby certdy fhat I have mad and exnmined Giis epplicallon end know fhe &7me fo be We antl <br />eorrocf. A!I provisrans o/ laws and ordinances goveming this type o/ work will be eompletad <br />wh9the� sp6G(od herein or not The gianfinp of a pertnit dces nof pmsume to pive BuNO�ty f0 <br />violate or cancol �he provrsions ol any other state or local law rcguluting rnnstrudion or Ne <br />peAortnance o! consWction. Thal I am authoiited by the owner ollhrs property lo peAomi the <br />wwk Por wh;ch applicefion is made and I compry wdh Ihe Sfe(e ConVactors Law 18.27 RCW and <br />REYlSEDOII�OII <br />FEE <br />I5°° <br />PERMfT# <br />E� ►�k la-�3 <br />