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11-04-16; 04: 11PM; From:Evergr... Security Inc. To:4252578857 ' 4253538934 # 2/ 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9B2.01 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.crg <br /> 3511 Smith Ave <br /> PROJECT ADDRESS <br /> Hansens Towing 3511 Smith Avenue Everett VVA 98201 425-252-2121 <br /> Owner Mail Addreus Dly State)zip Phone. <br /> Same as above <br /> Tenant Mail Address City StaWZip Phone <br /> Evergreen Security 5115 Broadway#101 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mail Address city &tatelzip phone <br /> EVERGSI 112 L2 039160 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $870.00 <br /> Proposed Use of Bullding Contract Pr4ce of Work <br /> Mary Kelp 426--34s- &50 <br /> Square Footage(If residential new construction, remodel or addition) Contact PersonlContact Number/Email <br /> accounting@evergreensecurity.com <br /> Existing <br /> Number of devices(If low voltage) <br /> DsscripUon of Work to Be Done: Relocate 3 Beams& 1 Reader for Security System <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �— <br /> I hereby certify that I have read and examined this application and know the some to be, true and <br /> correct. all provisions or laws and ordinances gnveming this type of work will be completed <br /> whether specified herein or not. The granting of permit does not presume to give authority to PERM74 <br /> violato of cancal the provisions of any other stato or local law mgulating construction or the � <br /> performance of construction. That I,gym authorized by the owaer of this property to perform the <br /> work for which applicelion is made and J comply with the State Contractors Law 18.27 RCW and <br /> 290.200 WAG. <br /> �-Vn 1111-. VIl 00 t14 1(1 (12 <br /> Signatur oat <br /> hLW.VLD ria vcr.,ii o <br />