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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 /> 7318 Evergreen Way STE 102 <br /> PROJECT ADDRESS <br /> Bekris, Sotiris N 12321 42nd Ave NE Seattle WA 98125 <br /> Owner , _Mail Address City State/Zip Phone <br /> ,,__,knn� 51 <br /> Curries I V "'at/ 7318 Evergreen Way, STE 102 Everett WA 98203 425-343-8120 <br /> Tenant Mail Address City State/Zip Phone <br /> Evergreen Security 8115 Broadway, STE 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 $270.00 <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©everweensecurity.com <br /> 1 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Connect New Hood Suppression to existing Fire System <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /0,>, <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> coned. 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 C U <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 298.200 WAC. <br /> 41tati ( / 4f r`7 <br /> Signatu 1614) Date <br /> REVISED 08V&2014 <br />