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Sep, 8. 2015_ 7: 19AM Sound Security Inc No. 0183P. 3 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, <br /> 425-257-8810 - FAX 425-257-888 --w,ww.everettwa.org <br /> r <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> ►dol l -a—[1"f0r1OZIQ215Y-30S5 <br /> Electrical Contractor Mail Address Clty State/ZIP Phone <br /> &N (7 0- / 131 + 5 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building 0 Contract Price of Work <br /> Square Footage(I esidential new construction"' <br /> remodel or addition) Contact Per on/Contact Number/Email <br /> ' 7 <br /> Number of devices(If low voltage) kVW o <br /> (' 8 <br /> Description of Work to Be Done: _ <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 h <br /> examined this application and know the same to be true and <br /> I hereby csrtify that 1 have read and <br /> correct. All provisions of laws and ordinances goveming 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 otherstate or local law regulating construction or the <br /> performance of construction. Thaperform t f am authorized by the owner of this property to perfothe E C/ <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.20 WAC. <br /> Signature 1 Date <br /> RttV1sED UGNW2Ul4 <br />