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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 /> PROJECT ADDRESS :2722 COLBY AVE SUITE 200 <br /> GREG VANDECASTEELE 2722 COLBY AVE Sty '�00 EVERF,TT WA 98201 425 308 5450 <br /> Owner Mail Address City State/Zip Phone <br /> SNO. COUNTY PUBLIC DEFENDERS 2722 COLBY AVE Ste IO&EVEETT,WA 98201 425 308 5450 <br /> Tenant Mail Address City State/Zip Phone <br /> FIRE PROTECTION INC 1730 GIBSON RD EVERETT ,WA 98204 425 290 9600 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> FIREPI*021ML t <br /> State License Number(required) erett Business License Number(required) <br /> 2?_C6 • 00 <br /> Proposed Use of Building Contract Price of Work 425 290 9600 <br /> DAVID MOW -DAVID@FPISEATTLE.COM <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 18 <br /> Number of devices(If low voltage) <br /> I,OW VOLTAGE,FIRE ALARM TENANT IMPROVEMENT- ADD DEVICES <br /> Description of Work to Be Done: <br /> PER PLAN <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> us <br /> I hereby certify that/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 I am authorized by the owner of this property to perform the E O �10 <br /> work for which Wlication is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200IQf4 M <br /> 8/11/16 <br /> Signature Date <br /> REVISED 08/0612014 <br />