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Feb, 1. 2016 9 ; 15AM Sound Security Inc — _No, 0217—P. 1/1..41 <br /> ._ w <br /> — — - H <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEJ�ETT, WA 98201 <br /> 425-257-8810 '�` FAX 425-257-8 57,.;-pww.everettwa.org <br /> PROJECT ADDRESS <br /> State/Zlp - Phone <br /> Owner Mail Address Clty N t, <br /> fillyState/'ip <br /> Tenant Ph <br /> Mail Addrass zS <br /> 1=lectrical Contractor <br /> Mail Address City stale/zip Phone <br /> f-oN CF 1'i,:z'Q 4LD7 <br /> Slate Licenso City of Eetf BusinessBusinessLicense,Number(required) <br /> Number(required) <br /> M ° Contract Price of Work <br /> Proposed Use of Building <br /> —�� Contact Por'ol�/Contact Number/L""mail <br /> Square Footage flf residential new construction, remolel or addltlan) <br /> Ij <br /> Number of de icos (If low vollaflo) <br /> bescriptiQn of Work to Be Done; r_ <br /> i: .��►, Lk <br /> 4:72-L� , <br /> FEE <br /> CITY OF,EVERETT LOCAL SALES TAX CODE Is 3105 o� <br /> 1 hereby certify that I have read and examined this application and know tile <br /> e s be coobo tnIG rripleted and <br /> corrcr:t. All provisions of laws and ordinances yoverrrincd this type <br /> whether specified herein or not. The granting of a permit does not presumc to dive aotfrority to PERMIT# <br /> viuhle or cancel tfle provisions of any other sit gr Io', law regulating c:onsirucflcm or the It - <br /> perrorrnanee or construction. That I arri authorized by the owner.of ffrls property to perforin the: <br /> work for which applh:atiorr,is made and I corrrply with fhe State Contractors Law 18,7.7 RCW and <br /> 296.20 WAC. <br /> Si9nalure <br /> HF <br /> vfsFo WW2014 <br />