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Feb, 18. 2016 8 06A Sound Security Inc No, 0220 P. 1 <br /> ELECTRICAL PERMITAPPLICATION <br /> CITY OF EVERETT'PERMIT SERVICES <br /> 3200 CEDAR STREET, EU. TETT, WA 98201 <br /> 425-257-8810 -' 'FAX 425-257-8857;,,Wvvw.everettwa.org <br /> ,5 6ve <br /> PROJECT ADDRESS <br /> Owner Mali Address City stalezp fit. z phone <br /> Tenant Mai! ddre City <br /> State/Zip I ? , Phone I <br /> `� <br /> n►�o( ���02�2�2 ( �(1::t' rn�c`�_S� t��i-P,�' InJ��'� r 2-5,Y (OSz 5 <br /> Electrical Contractor Mall Address City staterzip Phone <br /> State License Number(required) City of Everett Business Lleense Number(required) <br /> Prop2�sed U o uiiding Contract Price of Work ` <br /> Square F'ootago(if residential new construction, remodel or addition) Contact Per on/Contact Number/Email <br /> Nu nber.of devices (!f low voltage) <br /> Description of Work to be.Done: <br /> �-, <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 00-4 <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. The granting of a permit does not presume to give authority to PERMIT'-# <br /> violate or cancel the provisions of any other state gr local law regulating construction or the <br /> performance of p I cation s made and I compl9 with thlle ownerof e State Contractors ow 9s property 0perform the.27 CW and IUIn L <br /> work for which app Y <br /> 2961.20 WAC. <br /> �" Slynatc�re pate <br /> ,?EVISEo 0WV2u94 <br />