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06/03/2015 11 :03 FAX 4256701656 Morgan Sound Inc 0 002/002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857--www.everettwa,org <br /> 1600 41st ST Suite 400 <br /> PROJECT ADDRESS <br /> Owner Mail Address City Statelzip Phone <br /> 6 <br /> The Everett Clinic �t�oyve Everett `nIn 98201 425-339-5446 <br /> Tenant Mail Address City State/zip Phone <br /> Point to Point Low Voltage 2004 19eth ST SW#2 Lynnwood A1e 425-771-7257 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> POINTPL 800D8 39654 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed use of Building Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devic s (If low voltage <br /> Description of Work to Be Done: Install Projector and PA Head End <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 f I — <br /> / <br /> � <br /> l hereby certify that/have read and examined this application and know the same to be true and <br /> correct, All provisions oflaws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state orlocal law regulating construction or the y j <br /> performance of construction. That I am authorized by the owner of this property to perform theE6 - —/�"V��IFJIJ <br /> work for which application ism de and I comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC. <br /> Sign atur Date <br /> REVISED 09,06/1014 <br />