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10-24-16;04: 35PM;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 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetiwa.org <br /> 407 47th St SE <br /> PROJECT ADDRESS <br /> Kelly, Donald D 407 47th St Everett WA 98203 425-281-4759 <br /> Owner MI Address City stats/Zip Phone <br /> Same as above <br /> Tenant Mail Address City SIate&Zlp Prone <br /> Evergreen Security 8115 Broadway #101 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mail.Address City StateiZip Poon <br /> EVERGS1112L2 039160 <br /> State Llcenee Number(required) City of Everett Business Lioense Number(IeQuired) <br /> Commercial $1815.00 <br /> Proposed Use of Building Contract Price of Wort( <br /> Mary Kelp 425348-3850 <br /> Square rootage(If residential new construction,remodel or additlor0 Contact Person/Contact Number/Email <br /> accounting@evergreensecurity.com <br /> 13 <br /> Number of devices(if low voltage) <br /> Description of Work to Be Done: lnStallatiort of Residential Security Alarm System <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3103 19.S <br /> 1 hereby certify that 1 have read and examined this application and know the same to be true and <br /> correct All provisions of Jaws and ordinances governing this type of work wilt be completed <br /> whether <br /> •—.... -- <br /> whetherspecifred herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate orcance!theprovisionsofanyotherstateorlocallawmgulalingconstniclionnrlha /� I �'o <br /> pepent/mance of construction. That I am authorized by the owner of this properly to perform me I^L91,y1 I <br /> work for which application is made and f Comply with the State Contractors Law 78.27 ROW and • <br /> 296.200 WAC. <br /> opiezgli (,, <br /> ArVit <br /> REVISED a.'QC ao79 <br />