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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 /> 12222 19th Ave SE <br /> PROJECT ADDRESS <br /> Shaw, Elliot 5326 156th St SE Bothell WA 98012 425-471-1997 <br /> Owner Mail Address City State/Zip Phone <br /> Silver Point Apts 12222-19th Ave SE Everett WA 98208 425-478-2126 <br /> Tenant Mail Address City State/Zip Phone <br /> Evergreen Security, Inc 8115 Broadway #101 Everett WA 98203 425-348-3850 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> EVERGSI112L2 039160 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $1725.00 <br /> Proposed Use of Building Contract Price 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 /> 4 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Emergency Fire System approved by Jim Venturo, Replace a <br /> non-communicating fire panel with a "like-for-like" replacement--DMP XR150 communicating by <br /> 263C cell. Note: Site has a plug-in transformer currently, is hardwired required? <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 (9 -l <br /> 1 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 I am authorized by the owner of this property to perform theE 11 <br /> work for which application is made and t comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Afir\aclucell—CP D to <br /> l <br /> REVISED 08/06/2014 <br />