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Sep, 30. 2015 10 : 07AM Sound Security Inc No. 0 18 6 P, 1/1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �'- <br /> 4,25-257-8810 - FAX 425-257-885v,.everettwa.org <br /> PROJECT AbDRESS <br /> + ra <br /> Owner Mall Address City State/Zip p„-;7 Phone <br /> Tenant ., Mail Address City Stato/zip Phone <br /> Z <br /> lhof c�2�2 ( <br /> (1a(i jriu`cL5J L� z �l- (v a5 <br /> Efectrical Contractor Mall Address City State/1-1p phone <br /> 1 b .2 <br /> Stato license Number(requirod) City of EvQ ett Business License Number(requirod) <br /> A. T., n''.✓:� ''r'g -'> �'�!�.r�,fry <br /> Proposed Use of Building Contract Price of 4ork <br /> Square Footage-(If-residential new construction,'ifemodel or addition) Contact Per on/Contact Number/Email <br /> Number of,deviccs (If low voltage) <br /> Description of Work to Be Dane: "�. �..' d Y��`^ � ) A�� <br /> flln <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX COBE IS 3105 I �/ <br /> hereby certify that 1 have road and examined this application and know the setae to be true and <br /> correct, All provisions of laws and ordinances governing this type of wodi will be completod <br /> whettlerspccified herein orrrot. T17o granting of permit does not presume to give authority to PERMIT# <br /> violate or cancel tho provisions of any other state or local law regulating construction or the �— <br /> perfotmance of construction. That/cirri authorized by the ownar or this properiy to perform the E I - �0 ' <br /> work for which application is made and i corrrply with the State Contractors Law 98.27 RCW and _ t <br /> 296.20 WAC. <br /> 5lynalure Data <br /> neWsta OB10612014 <br />