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10-11-16; 05; 24PIM; From;Evergreen Security Inc. To, 4252578857 ; 4253538934 # 2/ 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVF�RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa_org <br /> 1932 Broadway, Everett, WA 98201 <br /> PROJECT ADDRESS <br /> Altheas Footwear Solutions Same Address 425-303-4148 <br /> Owner Mall Address City stateizip Phone <br /> Same as above <br /> Tenant Mail AddreAe city State2lp Phone <br /> Evergreen Security 8115 Broadway*101 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mall Address City Stata2lp Phone <br /> EVERGS1112L2 039160 <br /> Stale License Number(requkred) r95ihrj <br /> Busiroess License Number(required) <br /> Commercial <br /> Proposed Use of Building contract ce of Work <br /> Mary Kelp 425.7348-3850 <br /> 3quara Footage(If residential new eonstrucilan,rcmodel or addition) Contact PorsoniContact NumberfEmall <br /> accounting a@evergroansecurity.com <br /> Pacription <br /> evi (If Iow voltage) <br /> of Wo a 11 P"- Recontact new door, program new Bosch D1260 KIP into panel <br /> FEE <br /> CITY of EVERETT IACAL SALES TAX COVE IS 3108 <br /> I horuby c9dity that f have read and oxamined this application and know the samc to be true and <br /> Cormcf. All provisions of laws and ordinances governing ibis type of work will be completed <br /> whether specifrad Wein or not. The granting of a parmit does not presume to grva authority to PERMrr# <br /> violate or cancof tho provisions of any other state or local law regulating construction ar the �� <br /> performance of construction. That i am authorized by the owner of this pimpatty to perform tho VU[ <br /> work for which application is mads and 1 comply wilt)ft State Contractors Low 18.27 RCW and <br /> 298.200 WAC. <br /> i,-�0 0 1-j-kLA ff)h 12 <br /> gna ure ate <br /> liGV7uEfl OdNfi/014 <br />