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Sep, 8. 2015_ 7: 19AM,.v_Sound Security Inc.__.- _ _ _.:. No. 0183-4. 1-- -- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-2578810 - FAX 425-257-8857—www,everettwa.org <br /> PROJECT ADDRESS <br /> 110 �'.0 - .� . <br /> Owner Mall Address City state/Zip Phone <br /> js� Ca CF�" 3 -C(j( <br /> Tenant Mail Address City State/Zip Phone <br /> t� I rvl , �-c' t ( `' c�c' r�r Sf kJc� Jar ��S'2—C�! 2-5Y— <br /> Electrical <br /> 5y-- <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> 9� 7 3 ) <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Z5_ gq 71 <br /> Square Footage(if residential new construction, remodel or addition) Contact Per on/Contact Number/Email <br /> Number of ddvi5Ts (If low voltage) <br /> Description of Work to Be Done; ', Vc <br /> Y <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 4 15, <br /> I 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 orloca/law regulating construction or the <br /> performance of construction, That I am authorized by the owner of this property to perform the (J(O� <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.20 WAG <br /> rv � - �� <br /> signature Date <br /> REVISED 0&OG/2074 <br />