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67/27/2006 11:56 4253538934 EVERGREEN SECURITY PAGE 01/01 <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257.8810 - FAX 4'25-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> jglC <br /> -44T6 80th St SW, Everett 98203 <br /> PROJECT ADURESS <br /> 425 <br /> Lang Bakery Co 4410 80th St SW Everett WA 349-2750 <br /> Owner Mei Address city Stetarlip Phone <br /> Tenant Mall Addreea Gly Stalwzlp Phone <br /> 425 <br /> Evergreen Security Sys, Inc 8115 Broadway, # 101 Everett VJA 98203 348-3850 <br /> Electrical Contractor Mail Address City State2lp Phone <br /> EVERGS11121-2 $2,430.00 <br /> State License Number Contract Pna L"work <br /> Commercial Rick Dampier <br /> Proposed Use or Building Contact Person (Plan RevTw) <br /> Description or work to Be Ione: Low voltage burglar alarm system <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE <br /> $35.00 <br /> CITY OF EVERETT LOCAL SALES TAX C JOE IS 3105 <br /> I hereby certify that I have read and examined this application and know the same to be froe and <br /> coned. All p, visions of lows prod ordinances governmg this type of work wr9 be romplefep <br /> whether spewed herein ornof. The granting ofe pennd does not plasumo to give authority to <br /> violate or centteal the parovlalon6 01 any othkr state orlocal law mgu Our construction or the <br /> perfwtnante of cone fiction. Thai I am authorized by the owner of rhl�pproperty to perform aha <br /> work nor which application!s made and I comply with the State Confreaors Law 18.27 RCW end <br /> 296 200 WAC. <br /> 7/27/06 <br /> SiOnatur Data <br />