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J u n. 2 3, 2 015--� 9: 5 8 AM�------S o u n d S e c u r I t y I n c ------------- N o, 0171— P, 3 - <br />� � <br />� � � � �� � � � ��� � <br />CSTY OF �V���TT ��R�i�� ����lIC�� <br />32Q0 C�DAR STREET, EVERETT, WA 98201 <br />�25-2�7�8810 - FAX 425-257-8857 — www.everettwa.org <br />�����?���� . ���` � �� t� �!���..;:; -�� <br />PROJECT A�DR�SS <br />Owner <br />Tenant <br />Mall Address <br />@����, ��n o't'� .-���� �� �c <br />Mail Address <br />. <br />. <br />_ }� ��L1 � � �.��� �a�_r_ <br />Electrical Confractor Mail Address <br />�{� � I �'� �1 ��� � <br />State License Number (requircd) <br />�-�� � % ��- � �=�- <br />Proposed Use of ilding <br />Square Footage (If residentiai new constr�uction, remodel or addition) <br />�• <br />� <br />Number of de ices (If low vvltage) <br />Description of Wark to Be Done; <br />C17Y OF EVERETT LOCAL SALES TAX CpDE IS 3105 <br />City 5tate/Zip �,q -% -,—"`- Phone <br />c?��- � _ �r 1�%�� � <br />Gity <br />City <br />State2ip Phone <br />��S — <br />�z� i z5��.���5 <br />State/Zip <br />Phone <br />� � � L�4 =� <br />V ✓� r V� _� <br />City of Eve�ett Business License Number (required) <br />:� �a ����— <br />Contract Price of Work <br />i 11 �F�.�, � Z� ~ 1 d I o� J`� <br />Contact Per�on/Contacf Num6er/Email <br />0 <br />! hereby certify thaf l have read and examined fhis appUcation anU know the sarne fo be true and <br />correct. All provisions oflaws and ordinances goveminq fhis type of work will be completed <br />wheiherspecifred herein ornot, The granfing of a permit does not presume to give authonty to <br />violate or cancel the provisr'ons of any other state orloca! law regulating eonstruefion or fhe <br />perfonnance of canstructr'on. Thet 1 am authorized by the owner of this proper�y to perform the <br />wor�< for which eppliCation is made and ! comply with the State Conrraefors Law 18.27 RGw and <br />296.200, W.AC. <br />r�[visr-o ae�asrzota <br />FEE <br />� �� � . <br />PERMS�t� <br />� � � ���� �� <br />