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10/�2/2014 03: 3aPM 4253538934 [VERGREEN SECURITY PAGE 02/02 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810 - FAX425-257-8857—www.evereriwa.org �0._03�1 �/ <br /> C�j i4 IO��v7 <br /> 3504 Norton Ave <br /> PROJECT ADDRE93 <br /> Housing Hope 1803 Hewitt Ave Everett WA J8201 425-551-0828 <br /> OWi19r ti!OilAddte6c Ciry Sial�'JZip PMna <br /> Housinq Hooe - Cros�roads 3504 Norton Ave Everett WA 98201 <br /> 7enant Maii atldress City S�ala(Zip Phone <br /> Ever reen Securit 8115 Broadwa #101 Everett WA 98203 425-3483850 <br /> � S1aIr1Zi PhonO <br /> EleCtncalConlrador MallAddress ���Y P <br /> EVERGSI112L2 $490 <br /> State L�censo Number Contrad Pnoe Ot WorK <br /> Sarah Murrav <br /> Propoeod Use of Buildmg � Contnc,Person (Plan Revlew) <br /> Square foolege Qf tesidentiul new canslruclioq remodel o�addmon) <br /> 1 <br /> Number of dnvices(I(low voltage) � <br /> Oasaip6on of Wo�lc to f3e Done Install Coliular Communicator on Existinq Panel <br /> r <br /> FEE �,� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3706 I F i <br /> / <br /> !hem6y tort+ty Ihat/havo read ond exnminBd Nls applrcaGon and know fhe snme to ba frue�nd <br /> corrrcf All piovisions ollews ond ortlinances pnvuning fhis rype ol work wifl be crompletod <br /> wheNer specified heiein or rwt The praniing oI a permit dons nof pmsumc fo qive authonrylo P[RMfftt <br /> violato or cancef the provi5ions ol any other sfofe or local law iepulafing�consfrucUon or the <br /> performance o!construcUon. T�at I am auMionLod by the ownerof this property ro peAorm the E g � �I o � Q�3 <br /> Nvrk lor which applicotion is mado and 1 comply wifh fhe Sfnfe Contraclors Lsw 18.27 RCw and <br /> 296.20D W/1C. <br /> ' (p l <br /> Slq l7ate <br /> Ftv�sma:uu <br />