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Dec. 11. 2015 805A Sound Security Inc _ No. 0206_P. 1/1 <br /> ELECTRICAL PERMIT_ APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 8200 CEDAR STREET, EVJ��ETT, WA 98201 <br /> 425-257-8810 FAX 425-257-9857 www.everettwa.org <br /> r ' <br /> PROJPC'T ADDRESS <br /> i <br /> p\ Y(✓ W!' Mall Address city <br /> Slate/Zip Phone I� <br /> Owncr <br /> Tenant Mail Address Clty State/Zip Phone <br /> Electrical Contractor Mail Addross City State/Zip Phone <br /> 5tato license Number(required) City of E .[ptt Business License Number(required) <br /> Proposed Use of building Contract Price of black <br /> Square f=oolago (If residchtlal new construct rtn, remol el or addlllon) Contact I'cr�on/Contacf Number/hm elf <br /> lli <br /> _ Y <br /> Number of devices (If low voltage) <br /> Description tion of Work to Bo D rie: <br /> s <br /> Vtl <br /> r� FEE T - <br /> CITY OF FVERETT LOCAL.SALES TAX CODE IS 3405 <br /> l <br /> I hereby certify that I have read and examined this application and know the samo to be tnio and <br /> cormct. All provisions of laws end ordinancCS governing this type of work will be completed <br /> whethor specirled hOMIn or not. Tho granting o(s pen7A does not presume to give autlroflty to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating constniction or the <br /> perforrrrarnce of construction. That l am authorized by the owner.of this property to perfomn the E I 51 Z— <br /> Wol-j( <br /> 12— <br /> work for which applicatlon is made and I comply with the State Contractors Law 96,27 ROW and _ <br /> 2,96,20 WAC, <br /> tc <br /> Signcat Iio br31 <br /> H,�vrser)OW6120f4 <br />