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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 <br /> Email to: Everetteps@everettwa.gov <br /> 1712 California Ave <br /> PROJECT ADDRESS <br /> Lynch Industrial Park - 1421 34th Ave Ste 300, Seattle, WA 98122 <br /> Owner Mail Address City State/Zip Phone <br /> Everett Port Gardner Parking Garage - 1712 California Ave, Everett, WA 98201 425-320-6217 <br /> Tenant Mail Address City State/Zip Phone <br /> Evergreen Security 8115 Broadway #101 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> EVERGS11121-2 039160 <br /> State License Number(required) erett usiness License Number(required) <br /> ci <br /> Commercial 220.00 <br /> Proposed Use of Building Contract Pr' e of Work <br /> Mary Kelp 425-348-3850 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> accounting@evergreensecurity.com <br /> 1 <br /> Number of devices(If low voltage) <br /> Description of work to Be Done: Add Hardwired Contact to new door <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 'S O <br /> l 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 PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That 1 am authorized by the owner of this property to perforin the <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> gnatu a 11 Dat <br /> REVISED 08/06/2014 <br />