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10/15/2814 06: G6PId 4253538934 EVERGREEN SECURITY PAGE 02/02 <br /> � � <br /> I <br /> . I <br /> ELECTRICAL PERMaT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 / / <br /> 425-257-8810 - FAXq25-257-8857-vvww.everettwa.org �Q �.�(�� � <br /> �R �uio��l6 <br /> 803 40th Place <br /> PROJECT ADDRESS <br /> Eldon Nvsether P.O. Box 1201 Evereti WA 98206 <br /> O��.ner MallAddras, Cdy State2lp Pnone <br /> i -same as above- <br /> Tenont h?oi!Fddress Cdy State2ip Pnono <br /> Everqreen Securiiv 8115 BroadwdV #101 Evarett WA 98203 425-348-3850 <br /> Eiectncoi Cantraaor roio�i ndtlmss Ciry SIa�e2ip Phono <br /> EVERGS1112L2 $890.00 <br /> State License Number �ontrad Pnco of Work <br /> Residential Sarah Murrav <br /> ProposHtl Uso of Building Conlacl Person (Flon Review) <br /> Squore Footage Qf resident:al naw construchcn, �emodel or addilion) <br /> 14 <br /> Number of devices pf low voltage) <br /> Descnplion oi Wark to'�Done: LOW VOIl2Q@ ReSIC1811118� S@CU!'11y $yS(@lll. <br /> F[E <br /> cITY OP EVERETT LOCAL SALES TAX COUE IS 3706 I�� <br /> I hereby ceRily(hof/hove:rcud�nd erammod lhis appllcoNon QAd know fhe samc to bc fine and � <br /> correcl. AI!pmvrsrons o/lmrs and ordrnancos goveminp fhis type o/v�ork wdl 6e completed <br /> whcU+erspoci(od horein ornoL Ttie pranting ol a permil docs not piosumo to givo a�Rhodry fo PERMTI�# <br /> violafo or cancel fhe provisions ol�ny othw sta(e or lucal la�v iegulating conslnictron or the ^ �l �I � — D� / <br /> perlorrttence oJ consWdion. That I am aufho�zed by the owner oJfhis pmperty fo perform fhe t lV <br /> work for which applica - � made antl i compty�vi(h Ihe Stafe Confinctors Law 78.27 RCW anJ <br /> 29G200 WAC. <br /> l� �s �� <br /> Signatwe ate <br /> ntv�s�vim� � <br />� -. _•�mduW'. � .'.'i <br />�GiC'Si�:.� . <br /> w�n;'a,.., . .. - .I . <br />