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i <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.everettwa.org J—/5�'" �s� <br /> [—I,50/--d� I <br /> 1520 25th Street Everett WA � <br /> PROJECT ADDRESS <br /> Clermont Apts 95 Tobin Street SUITE 021 Renton WA, 98057 �����=� � <br /> � <br /> , <br /> Owner Mail Address City StatelZip Phone i <br /> Clermont .Apartments 1520 25th Stt'eet EV@I"ett WA, � <br /> Tenant Mail Address Cily State/Zip Pho.ie i <br /> Guardian Securiry Systems, Inc. � T43 FIrSt AVe S. Seattle WA/98134 ; <br /> I <br /> Elecirical Coniractor Mail F,ddress Ciry Slate2ip Phone � <br /> GUARDSS233K5 0�3443 � <br /> I <br /> Stale License Number(required) Ciry of Everetl Business License Number(required) j <br /> Residential 250.00 ; <br /> ProposeA Use of Building Contract Price of Work <br /> 2000 Casey Walsh/206-454-9652 i <br /> � <br /> Square Footage (If residential new construclion, remodel or addition) Conlacl PersonlContact NumbedEmail i <br /> 1 � <br /> � Number o(devices Qf low voltage) I I <br /> Installation of an AES radio transmitter to monitor the existing FACP j <br /> Descriptian o(Wark to Be Dane: { <br /> FEE � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� O <br /> I hereby certi/y Ihat I have n:ad and examined this applicafion and know fhe same fo be In�e and <br /> wrrecL All provisions ol laws and ordinances governing Ihis fype o!work wi/l be compleled <br /> whethcr speci�ed herein o�nol. The grantiny ol a pe�rrit does nof presume fo give aulhonty fo PERMITt! <br /> violafe or cancel lhe provisions ol any ofher sfafe orlor,allaw�egclafing conslnicfion or Ihe � I ��� _ �� <br /> peAomiance o/conslniction. Thal 1 am aufhonzed by fhe owne�o/(his p�operty lo perlonn O�c I <br /> work lor which applicalion rs made and 1 comply wifh the Slate Conf�actors!aw 18 27 RCW and <br /> 296200 WAC. <br /> ���� ; � 1 /15/2014 <br /> � <br /> � �, <br /> �\ Signaturc Date � <br /> � <br /> � �cvistnoamuiorn _ — ----_J <br />