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11/17/2�14 �3:4ePh1 425353�934 EVEP.6REE�J SECUPITv P�SF �2/�2 <br /> ELECTRICAL PERIVIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—ww�v.everettwa.org ��, �g I y <br /> i C�� ui� -�l7 <br /> � 764 Crown Drive <br /> � <br /> PROJECT ADDRESS <br /> f'atnck McClain 764 Crown Drive Everett UVA 98203-1802 425-252-8777 <br /> Ownef Gta'�i Adtlress Ciry State2lp Phona <br /> -same as owner- <br /> Tenant MslAdtlress ary suce2ip �none <br /> Everqreen Security 8115 DroadwaY #101 Everett WA 98203 425-:548-3850 <br /> EleCricalConlractor Gl.i!intlarosc Clty StatNZ:p Phone <br /> EVERGSI112L2 039160 <br /> Stata License Number(reqwred) Cdy of Evemtt �usiness License Number(m0uired) <br /> i ����� 53578.00 <br /> IPropoSed U58 of Building Cqntrarl Pnce of Work <br /> ISarah J. Murra�4�5348-3850 <br /> Squnn:Foo;eae Qf re5idenGnl nmv construcl:on,remodel or adtlition) Cantact Pe�soMContacl Numher/Email <br /> sarahm@evergreensecurity.com <br /> 13 � <br /> NumDer of tlevip�s(Il low voltage) <br /> otls�nPuo�oi wo�x io e�000� Low Voltage Residential Security System: 1 Conlrol Panel, 1 KeYpad, <br /> 1 CO Detector, 2 Smokes, 4 DoodWindow Contacts, 2 Motions, 1 Indoor Siren, 1 RJ. <br /> R:[ <br /> CIIY OF EVERETT LOCAL SALES TAX COOE IS J1D6 I �QO <br /> I horoby corti/y fhat I havo read and examinod fhis applrqlion and know fhe samc lo bc We and � <br /> conecl. A/l provisions af laa�s and ordinances govominp fhis type ol work will bo completod <br /> whcther spucified hrrcin vr noL The prunb'ng af a permit dw:s nof prcsumC to giv0�ufhOnty f0 V�RI-01T� <br /> viola(e or�ance/fhe provisions o/any ether stnte orloca!law regulabhp construclion or fhe ' I <br /> porlorm��nce o!consVuction. That!am authorrrod Dy the owne�o!Ihis proporty to perlonn Oie E g I U f ( _ U � � <br /> «viic lnr�vhrch application is mede end 1 comply wiH�fhc SteM Continc(ors Lmv 1827 RCW aiW � <br /> 29E 200 WAC. <br /> � <br /> Signal Da� <br /> I /i.M',i��DULLwJi� <br /> � <br />