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08-03-16; 10:08AM;From:Evergreen Security Inc. To: 4252578857 ;4253538934 # 2/ 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 08201 <br /> 425-257-8810 - FAX 425-257-8857-wuwv.everettwa.org <br /> 11217 19th SE <br /> PROJECT ADDRESS <br /> Polygon Homes 11624 SE 5th S1 STE 100 Bellevue WA 98005 425-766-4235 <br /> • <br /> Owner Mall Address City State/Zip Phone <br /> The Towns at Silvorlake 11217 19th Ave SE Everett WA 98204 425-766-4235 <br /> Tenant Mall Address Gay State/Zip Phone <br /> Evergreen Security 8115 Broadway#101 Everett WA 9.8203 425-348-3850 <br /> Electrical Contractor Mail Address City StatatZip none <br /> EVERGSI112L2 039160 <br /> State License Number(required) usiness License Number(required) <br /> Commercial $525.00 <br /> Proposed Use of Building Contract.Price of Wolk <br /> Mary Kelo 425-348-3850 <br /> Square Footage(if residential new construction,remodel or addition) Cooled Person/Contact Number/Email <br /> accounting©evergreensecurity.corn <br /> 0 <br /> Number of devices(if low voltage) <br /> Description of Work to Be Done: Relocate Control Panel, Siren & Keypad from West end of Building <br /> to East end. Remove Contacts from West Garage&next one East, remove all Security from Center <br /> Unit. <br /> [FEE <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3145 <br /> J hereby certify that I have read and examined this application and know the same to be true and a <br /> correct. All provisions of taws end ordinances governing this typo of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give euthority to PERMIT# <br /> violate or cancel the proviSJoI?s of any other state or local law regulating construction or HieQ <br /> performance of construction.. That 1 am authorized by the owner of this property to perform the - <br /> 0 <br /> work for which application is made and t comply with the State Contractors Law 18.27 RCW and <br /> 298.200 WAG, <br /> _AST ( LS <br /> REVISED oeamorr 4« - trkO� <br /> ►�I t9 V v C, � �� i� \ <br />