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Mar, 3, 2016 10 : 43AM Sound Security Inc No. 0221 P. 1 <br /> F <br /> ELECTRICAL PERMITf APPLICATION <br /> CITY OF EVERETTPERMVIIT SERVICES <br /> 3200 CEDAR STREET, EY ETT, WA 98201 <br /> 425-257-8810 FAX 425-257-8857,7 <br /> www-P-verettvva.crg <br /> PROJECT ADDRESS <br /> { <br /> Mall Address City Stale/zip Phone <br /> Owner Z <br /> f3-K3_ <br /> l Stat /Zip <br /> Phone <br /> Tonat l a1 Address city <br /> 4LY !j <br /> Mall Address City Stafe/Zlp Phone <br /> Electrical Contractor 'I! <br /> N `T13 ) <br /> �8�� <br /> mty❑t Everett Business License Number{required) <br /> State License Number(required) <br /> 1 � Contract Price of Work <br /> Proposed use of Build hg <br /> Square Footage (Ifresidential new constructaahh Contact Per on/Contact Number/Email <br /> , remodel yr addition) , <br /> Number.of devices (if low voltage) <br /> pescription of Work to Be pone. <br /> ILIL <br /> �L_V t L •—rt _ <br /> FEE <br /> CITY Or EVERETT LOCAL_SALES TAX CODE IS 3105 <br /> 1 hereby certify that I have read and examined this application and know the:same to be true and <br /> correct. All provisions of laws and ordinances goveming this type of work will be completed <br /> whether specified herein or not. rhe granting of a permit doss not presume to give authority to PEERMIT# <br /> violate or cancellhe provisions of any other state orlacal law regulating construction or the'at/am OuthOrtzed <br /> performance of construction. <br /> de and I comply with the state Contrathe owner.or ctors haw 98.perty to 2 RCW anerform the!d ttt lwy,U <br /> work for which application <br /> 296.20 WAC. te <br /> Slflrlature r to <br /> I , <br /> REV1sEo 00108/2014 <br />