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10/29/2015 TxU 12:37 FAx 42555899a9 Definitive Audio <br />ELECTRICAL PE�M�T APPL�CATlON <br />CITY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425�257-8810 - FAX 425-257-8857 -- www.everettwa.gov <br />��zo s�f�R�/� �-f�'�sT �l/�ie�ll, GvA- �8zo/ <br />F'ROJECT ADDRESS <br />�6-U�� �jvGOf/Nch� ,�p rS/f6IRlJ/V LRCsT �I/�ER�TI �lA- 9��20/ <br />Owner Mall Address Clty State/Z�p <br />Tenant <br />Mail Address <br />Clty <br />State/Zlp <br />C�902/402 <br />1���5 �5o•2a5,s <br />Phone <br />Phone <br />���tiv`r<y� 6�D�o �io�u�Ar,r��t� ao� ��o� �� N� ,�ir.�vu� �r� 9��,� �L�s��. <br />Electrlcal Contractor Mall Address <br />�'I-09��0�7 <br />State LlCense Number (requlred) <br />�S/D,EN�l9L <br />I'roposed Uae of Bullding <br />Square Footage (If reeldentlal new Construcll�n, remodsl or eddltlon) <br />2� <br />Number of devices (If low voliege) <br />City <br />descrlpilon of Work ta Be pone: �W V�G%Q��/�',�'GGl�2l7-y <br />CITY OF �VERETT LOCAL SALE3 TAX CODE 15 310"� <br />State/Zlp <br />Phone <br />a�7�D� <br />City of Everett BuslnesS l.lCense Number (requlred) <br />Contract Price of Work <br />��N.To�1sON �pd . 96�� �7 <br />Contact PersonlConlact Number/Einell <br />�CJ7✓ �''A��f7/¢/VC. �Oi?'! <br />/ hareby ceriify thaf / have read snd exam/ned this applicaflon and know fhe same to be trUo �nd <br />Correct. All provlslons oilaws arrd ordinances governing fhls type of work w!1! be Completed <br />whether specified hereln ornot. The grantJng of e permlt does nof presume lo g/ve authority fo <br />vlolafe or cancel �he provlsions of any ofher stete orlocel faw r�gu/at/ng constructJon or the <br />performance of cons�ruct/on. That / am authorized by fhe owner of thls property io perform the <br />wo�k for whlch eppllcetlon ;J rn_�end I comply wlrh the S�ate Cortfr�cfors Law 98.27 RCW and <br />29s.aoo wac. �, <br />REVISED O6/p8/2pY0 <br />F�� <br />� �e ../ <br />PERMIT# <br />E�� ���J-���`� <br />