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Mar, 3. 2016 10 : 43AM Sound Security Inc No. 0221 P. 2 <br /> ELECTRICAL. PERMITizAPPLICATION <br /> CITY OF EVERETT•PERMIT•SERVIC1=S <br /> 3200 CEDAR STREET, Ey.gRETT, WA 98201 <br /> 425-257-8810 '',FAX X25-257-8857,7,,W vw.everettwa.org <br /> �(A �3 <br /> PROJECT ADDRESS <br /> • rr, <br /> Mall Address city StateOp Phone <br /> Owner - � <br /> State(Zip Phone <br /> Tenant Mail Address Cid' <br /> r19Z y-.3(oSz5 <br /> ,11&— KR— <br /> Electrical Contractor <br /> Mall Address i. city State/Zip Phone <br /> i Lr <br /> City of Everett Business License Number(required) <br /> State License Number(required) <br /> I Contract Price of Work <br /> proposed Use of Build ng - <br /> �- _ -7 a L� <br /> 5cluare Footage(Cf residehtial new constructio r, remodel or addition) <br /> Contact Per on/Contact Number/Email <br /> Number of devices (If low voltage) <br /> cyl <br /> Descriptigri'ofi Work to Be Done: � <br /> FEE <br /> aor ' , <br /> CITY OF FVFRF-TT LOCAL SALES TAX CODE IS 3105 <br /> Ircation and know the same to be true and <br /> I hereby certify that I have read and examined this app a of work will be completed <br /> correct. All provisions of laws and ordinances governing this typ <br /> whetherspecifled herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate orcancet the provisions of any other state gr,locel law regulating conetru too perform the <br /> perfonnance of construction. That!am authorized by the owner of this property p <br /> work for which application is made and I comply with the state Contractors I-aw 18.27 RCW and <br /> 296.28 WAC. <br /> - 'te <br /> Signature <br /> �EVls6o oaroB/2014 - <br />