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Ah <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 /> 3901 Hoyt Street <br /> PROJECT ADDRESS <br /> Everett Clinic 100 Everett Clinic Profit Everett WA/98201 <br /> Owner Mail Address City State/Zip Phone <br /> T.E.C. Founders Bldg. 3901 Hoyt St. Everett WA 98201 <br /> Tenant Mail Address City State/Zip Phone <br /> Guardian Security Systems 1743 First Ave South, Seattle WA 98134 2°6.9.5889 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> GUARDSS233K5 1900. <br /> State License Number Contract Price of Work <br /> Karina Veliz 206.349.5889 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> 5 3 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: LOW Voltage: Adding 5 fire alarm devices <br /> and to existing FACP. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 q (�. 0 <br /> 1 hereby certify that 1 have read and examined this application and know the same to be true and J <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 PERMIT# <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 E <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> X--� 16--��' �L�� �6 .I-L,'� . � L. 1 <br /> Si ture Date <br /> REVISED 3/20/13 <br />