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Nov.lb. 2015_ 7;06AM Sound Seeurity Inc No.O1R9 P <br />� � _.. <br />EL�GTI�I��q,� I��F�IV�I� �q,PPLICATI�N <br />CITY OF EVERETT PERIIIIiT SERViCES <br />3200 CEDAR STI��ET, EVERETT, WA 98201 <br />425-257-88� 0- FAX 425-257-8857 — www.everettwa.org <br />� � <br />� �. <br />r�� ��I <br />� <br />� � � ��� �f'����di� �J��1 �'�C�� <br />PROJECT AdDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />�lectncaf Contractor Mail Addfess <br />��Ut ��i� ��-�� <br />City <br />City <br />�7� �/l,r.`C�_ S� �l Pe'.�L, �" <br />City <br />_���� ��� ��� <br />State License Number (required) �'� <br />���c .�� ��. °_��:� ��-� � �;u��-� <br />Proposed Use of Builcling I �" <br />Sc�uare Footage (If residentia! new construction, remodel or addition) <br />� t <br />umber of d�vices (Ef low valtage) <br />Description oF Work to Bz Done; �-'�� °<,�J ��'��� �.. <br />� C�n �' f <br />�'s�--� �'"�'u� <br />�� <br />ClTY OF EV�RETT LOCAL SALES TAX CODE f5 3105 <br />� ��� <br />�.�� - ��5 <br />5tate/Zip ' <br />Phone <br />5tate/Zip Phone <br />��� ^ <br />1ZC� ( Z��l—.3��.5 <br />Stafe/Zip <br />Phone <br />C������ <br />City of Everett Business License Number (required) <br />� - ��� � r� <br />Contract Price of Work <br />�.��. ZS�q I �?�� <br />Contact Per on/Contact Nurl�ber/Email <br />�����,J ��< <br />. r, a�I ' <br />;� �rX . �� �-� �Fl �% � -�i � <br />l herehy cerfify thaf / have read and examined this application anU f�now the same to be Crue artd <br />correct. All p�ovisions of/aws anrl ordinances goveming this fype of wo�k wil! be completed <br />whetherspecified herein ornot. The granting of a permit does not presumE to give aufhority to <br />�fo/at� orcance! the provisions ot'any othorstate orlocallaw regulating consfruction orfhe <br />performance of consfruction, 7'hat I am authorized by fhe owner of this property to perform the <br />work for whTch appliCaflon is made and / comply with the State Confraciors Law 93.27 RCW and <br />296.20Q, WAC. _ <br />� <br />ktVlSF.D oA/o6/201� <br />s�—��--�5 <br />Date <br />����L� ��—,��`� �� <br />i � <br />� <br />FEE <br />�i� <br />I �—� � <br />` �. <br />PERMZT# <br />�������'��� <br />