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• <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> 209 E Casino Road #H-G <br /> PROJECT ADDRESS <br /> Los Gavilanez PO Box 13150 Everett WA, 98208 619-410-3513 <br /> Owner Mail Address City State/Zip Phone <br /> Los Gavilanez 209 E Casino Road #H-G Everett WA, 98208 619-410-3513 <br /> Tenant Mail Address City State/Zip Phone <br /> Evergreen Security 8115 Broadway #101 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> EVERGSI112L2 039160 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $2821.00 <br /> Proposed Use of Building Contract Price of Work <br /> Mary Kelp 425-348-3850 <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> accounting@evergreensecurity.com <br /> 16 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Install Security Alarm System <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 \ 5 �— <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERM1T# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 12 Z9/1 <br /> natur«e /ate <br /> REVISED 08/06/2014 <br />