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Sep, 28. 2015 10 : 46AM Sound Security Inc No, 0184 P. 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVE} ;TT, WA 98201 <br /> 425257-8810 - FAX 425-257-88571—yvw .everettwa.org <br /> PROJECT ADDRESS <br /> 7141 - <br /> 3--c <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> L& 32 raa SSP � 5 �3� 5 <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(if residential new con struction;remodel or addition) Contact Per on/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done �i0o rad <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX COr)E IS 3105 <br /> I hereby certify that I have read and examined this application and know the same to be true and ( r/ <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting ora 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 <br /> work for which application is made and I comply with the State Contractors t-aw 98.27 RCW and t r <br /> 296.20 WAC. _ <br /> Signature date <br /> REVISED OM 2014 , <br />