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08-'19-16; 10: 37AM;From: Eve rai-Pp Security Inc, To: 4252578857 ;4253538934 # 2/ 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVEFR.ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857--www.everettwa.org <br /> org <br /> 3458 31st Drive <br /> PROJECT ADDRESS <br /> Polygon Flores 11624 SE 5th St Bellevue WA 98005 425-7664235 <br /> Owner Mall Address City Slate Zip Phone ' <br /> Overlook at Riverfrorit Same as above 425-766-4235 <br /> Tenant Mail Address City State/Zip Phone <br /> Evergreen Security 8115 Broadway#101 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mail AddrrAt City StatelZp Phone <br /> EVERGSI112L2 039160 <br /> Stale License Number(required) City of Everett Business License Number(required) <br /> Commercial $271915 <br /> Proposed Use of Building Contract Price of Work <br /> Mary Kelp 425-348-3850 <br /> Square Footage(If residential new oonstruCti3n,remodel or addition) Contact Person/contact Number/Email <br /> accounting@evergreensecurity.com <br /> 20 <br /> Number of devices(If low voltage) <br /> Descclption of Work to Be Done: Installation of Security Alarm System <br /> IEEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 C <br /> J hereby certify that I have read and exarinid this appilcatian and know the same to ilex irUe and <br /> correct. Alt provisions of Jaws end ordinances governing this type of work Will De completed <br /> whetherspecified herein or not. The granting of o permit docs not presume to give authority to PERMIT# <br /> vic/ala or cancel the pravieions of any outer stale or local law regulating construction or the c(00Z <br /> performance of constnrction. That J am authorized by the owner of this property to perform the <br /> work for which application Is made and I comply with the State Contraactors Lew 18.27 RCW and <br /> 296.200 WAC. <br /> 'tV_L ql1C11 1 (p , <br /> signature to <br /> uLvssooma/20f4 <br />