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-- � � <br />EL�C`► RICAL PERMIT �PPLICATIOM <br />C�TY OF EVERETT PERNIIT �ERVICES <br />3200 CFDAR STREET. EVERETT. VJA 98?_01 <br />425-257-8&10 - FAX 425-257-8857 — www.everettwa.org <br />,�� Hoyt Ave EvErett, WA 98201 <br />I PROJECT ADDRESS <br />�� Everett Ciinic <br />Ownrr <br />3901 H�yt A.ve <br />t'atl hddress <br />i Everett Clinic - Conference 3.�30 Hoyt �ve <br />Tenanl <br />.1pil Adtl'[55 <br />Everett <br />�r,y. <br />Everett <br />C �j <br />GuardianSecuriry5ystems.lnc. 't7l.�3 F�rst A�/e S. Seatt�Q <br />ElcctncalCunt�ac;or h7acAdcre3s <br />GUARDSS233K5 <br />Siote License Nurrhe� (requlretl) <br />Clinic <br />Pioposetl Use o! Bullding <br />2��0 <br />Square Foctage (If re9!tlential new cons;ruchon. remodFl or addition) <br />1 <br />Numher ot tlev�ces (If low votta9e) <br />C tq <br />WA <br />5:31E17.i0 <br />WA <br />SIa;r2iP <br />WA/98134 <br />5!zte2ic <br />._n .�.:: <br />�hcnc <br />•.a��� •/L' <br />Pnone <br />Pho.�e <br />033443 <br />City cf [verett 9ualness License �:umbo� !•equiretl) <br />250.00 <br />ConVat' Price of Work <br />Cosoy �Nalshi206-45e-9552/cNalch�laquard�ansocunTy com <br />Contact Person/Con:act Number/Emad <br />Installation of an /1ES radio transmitter to monitor the existing FACP <br />Oescrlpt�on ot VJork to 9e Dore. __ _. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I he�cb}� cer'.ly thot 1 heve me�d arrd ezemrnn,U (!rvs epAhcafion and kno�v thc same fo be We ond <br />conect All provic�ons oile�,rs and o;dmances governmg (Irrs tyPe of c✓ork v�ill bc compfeMd <br />whefher specl(ed herem ornof. T7m gran(ino of e peimd does no( prv::umo !o yrve aufhority to <br />vio/ofe or r.encel the pmv�srons of any otliersfefe orlocal !aw myinaiinq construcGon or fhe <br />performnnce of consnvcfron. That 1 om euthorizetl by the owner ol this properry fo pedorm the <br />viod� (or which spplica;lon is made and I comply u�ith the Stafe Contrnctors Lc�v 18.2i RG�4� and <br />296.200 WAC. <br />1/2�/2015 <br />R�viSeC 09CG!a�.i <br />FEE � <br />� ���66 <br />PERMITk <br />E 15o�-iii <br />