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11/18/2014 02: 48PM 4253538934 EVERGREEN SECURITY PAGE 02/02 <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 <br /> 3822 Colby Ave <br /> PROJECT ADDRESS <br /> Dr. Kang Investments 1100 Pacific Ave Everett WA 98201 <br /> Owner Mall Address City State/zip Phone <br /> Dr_ Alex Kang 3822 Colby #200 Everett WA 98201 425-258-3130 <br /> Tenant Mall Address City stateizip Phone <br /> Evergreen Security 8115 Broadway#101 Everett WA 98203 425-3483850 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> EVERGS1112L2 039160 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $200.00 <br /> Proposed Use of Building Contract price of Work <br /> Sarah J. Murray 425-348-3850 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> sarahm@evergreensecurity.com <br /> 1 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Low Voltage: Fire Cellular Communicator. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3108 o G)� <br /> I hereby certify that I have read and examined this application and know the same to be true and v <br /> correct. All provisions of laws and ordinances goveming this type of work will he 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 i <br /> performance of construction. That/am authorized by the owner of this property to perform the Eli l <br /> work for which application is made and I comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC, <br /> ti �L4 <br /> Signature Date <br /> REW350 08/l1=014 <br />