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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 /> coo <br /> 3222 Rucker Avenue <br /> PROJECT ADDRESS <br /> Tran, Phong N/Nguyen Giahan Duy-1011 S 48th St, Renton WA 98055 206-579-1161 <br /> Owner Mail Address City State/Zip Phone <br /> Tran, Phone Same as owner <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 /> EVERGSI112L2 039160 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial $1365.00 <br /> Proposed Use of Building Contract Price of Work <br /> Mary Kelp 425-348-3850 <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> accounting@evergreensecurity.com <br /> 2 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Replace existing ESL 1500 Panel wlbad charging circuit with <br /> SK4 Fire Alarm Control Panel&Fire Cellular Communicator <br /> FEE , + <br /> CITY OP EVERETT'LOCAL SALES TAX CODE IS 3105 417 <br /> L.15 <br /> I hereby certify that/have read and examined this application and know the same to be true and • !✓ <br /> correct, All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the C 1 O� �� <br /> performance of construction. That lam authorized by the owner of this property E 4 to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 298.200 WAC <br /> signaturA 8) at 6 <br /> AIW$UD 01/0/R014 <br />