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Sep,28. 2015 10;46AM Sound Securlty Inc <br />No, 0184 P. 3 <br />. � ' <br />ELECTRIC�.L PEl�MlT ,�P`PLIC,ATION <br />CfTY OF �VERETT PERMIT SERVICES <br />- 3200 CEDAR STREET, �VERETT, WA 9$201 ` <br />A�25-257-8810 - FAX 425-257-8857�� Www_everettwa.org <br />� �� :�� �,��� �1 �f-pd� �� ���,� ����,.. � � �,�� .. <br />PFZOJECT ADDRESS <br />Owner <br />Mai1 Address <br />Tenanf i d- ' Mai� Address <br />a ' <br />City <br />���'� <br />� ri F�rol �� &�G o2 ,� ( C��r' � �� <br />�lectrical Contracfor Mall Address <br />��N ���� 9 ���� � � � <br />State License Number (required) <br />C� C�S <br />Proposed Use of Bullding <br />� � � , <br />Square Footage (If�residentiaf new construction,:remodel or addition) <br />� <br />�.. <br />Numher of,devices (if fow voltage) <br />Desctiption of Work to Be Done: _;�% ��' �.W L.�k" �` �%�! <br />°� <br />StateJz�p� � Phone <br />81. <br />�� <br />C�ty State/zip J( Phone <br />' TZ-� � <br />F � P�-e,� �,1� q�2� � z � �l -3 � �S <br />C��y Statel�ip Phone <br />� IJ6�� <br />City of Everett Business License Number (requir�d) <br />i�� %�5-�— �'.�����'`� � a�:'��'���� � <br />Gontract Price af Work .�'�� t�� <br />C� (�, . Z� C ( as`� <br />Contact Per on/Contact Number/Email <br />d� <br />� ������� ����.,��-�'; <br />,a j;, �EE <br />CITY aF �V�RETT LOCAL SA�ES TAX C4A� IS 3105 I r � <br />certi that I havc read and examfied this a licafion snd know the sar�ae fo ba true and ���� <br />I heraby fy pp <br />correct. AlI provrsions oflaws and ordinanccs goveming�this type of work wi!l be completed <br />Whetherspecified herein o�nof. The granting of a permit doos not presume to give authonty to P�RMIT# <br />violate orcancel fhe provlsions of any otherstate orlocsllaw requlafing construction orthe ����D�' �`� <br />performance of constructlon. Th�t ! am authorized by the ownerof this propetty to perform the I <br />wor9c (o� wf�ich �pplication is made and l comply with the Stafe Contractors Law 18.27 RCW and <br />296.20 WAC. � f <br />� <br />�--�-P�— �,� 2-�� � 5 <br />Sis�nature �e <br />R�VISED 08/06/zo 14 <br />