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04-19-16;03: 08PM; From: Evergreen Security Inc. To:4252578857 ; 4253538934 # 2/ 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 GEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www,everettwa.org <br /> 1315 Pacific Ave <br /> PROJECT ADDRESS <br /> Potala Village LLC PO Box 13261 Everett, SNA 98206 425-339-1234 <br /> Owner Mall Address city statelzip Phone <br /> rotala Village 1315 Paclflc Ave Everett, WA 98201 425339-123.4 <br /> Tenant Mail Addreaa city Statc121p Phone <br /> Evergreen Security 8115 Broadway#10'1 Everett VVA,98203 425-348-3850 <br /> Electrical Contractor Mall Address Clty Slatelzip Plrone <br /> EVERGSl112L2 039160 <br /> State License Number(required) City of Everett Business Lirsense Number(required) <br /> Commercltal $11891.75 <br /> Propeaad Use of Buildinro Contract Price of wor'c <br /> Mary Kelt 425-348-3850 <br /> Square Footage(It residential new construction,remodel or addition) Confect PeraonJConiect NurrrberlEmail <br /> accountingga evergreensecurity.com <br /> 17 <br /> Number of davicea(if law voltage) <br /> Description of work to Be Done: Installation of Access Control System <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3145 <br /> I horaby cort4,that 1 lava raid and oxan;insd this application and know the same to be ttve and <br /> correct. All provisions of taws and ordinances gaveming this type of work will be completed <br /> whother sQecifred herein or not. The granting ora pannit does not prr sum®10 give Ruthority to PERMIT# <br /> aioJate or cancel the provisions of any other state or IocaJ taw reguhating construction or the <br /> portbrmanee ofccnstrr�ctlon. That l am authorized by the ownerr?fthis property to perform,holJ <br /> wails for which application is made and t comply with the 5fato Cort=tors Law 16.27 RCW Ono <br /> 296.200 WAG <br /> gn tore pe} <br /> F}F_V�1ED O�/U62U�G <br />