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ELECTRICAL PERMIT APPLICATION <br />CIT' OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - F 4X 425-257-8857 — www,everettwa.org <br />4924 33rd Ave W., Everett, WA 98203 <br />PROJECT ADDRESS <br />Scott & Turie Holte 4924 33rd Ave W., Everett, WA 98203 <br />Owner <br />LLnll Address <br />City <br />Stateop Phone <br />Scott & Turie Holte <br />4924 33rd Ave W., <br />Everett <br />WA 98203 <br />Tenant <br />Mail Addrece <br />City <br />statalzlp Phone <br />Guardian Security Systems <br />1743 First Ave South, <br />Seattle <br />WA 98134 M QU, <br />Electrical Contractor Mall Address <br />GUARDSS233K5 <br />State License Number <br />City Statetzlp Phone <br />Uffil <br />Contract Price of Work <br />Karina Veliz 206.349.5889 <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (It residential new construction, remodel or addition) <br />1 <br />Number of devices (It low voltage) <br />1)eacriptlonofWork toBeCore: Running Low Voltage wiring for Security System; <br />relocating security panel and adding 1 device. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />/ hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel tha proLdsions of any other state or local law regulating Construction or the <br />perfomrance of construction. That I am authorized by the owner of this property to perform the <br />work fpr which application is made and I comply with the State Contractors Law 78.27 RCW and <br />296.2YJ0 WAC. <br />l(). � I l5 <br />I RViiFD 112-yrj <br />FEE <br />50 °6 <br />PERMrr# <br />E ofo-Okq <br />