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Mar, 7. 2016 2; 28PM Sound Security Inc No. 0224 P. 1/2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVER,ETTPERMIT SERVICES <br /> 3200 CEDAR STREET, EVEfZETT, WA 98201 <br /> x-25-257-8810 -' FAX 425-257--8657,,t-,;www.everettwa,org <br /> 3,2.7- 5m,4 <br /> PROJECT ADDRESS <br /> ,. <br /> Owner Mall Address City State/zip Phone <br /> Tenant '; Mall Address ;ii City state/zip � Phone <br /> n►k0l 410 i�L r>u s CuPrebl- �A A 7,ff-en f Z5,F-3(oS6 <br /> Electrical Contractor Mall Address City State/zip Phone <br /> Li <br /> State License Number(required) City of Everett Business License Number(required) <br /> ( loin ,�knp - - - <br /> 1� S <br /> Prop ed Use of Building i, Contract Pricu of Work <br /> Square Footage(If residential new construdon, remodel or addition) Contact Per on/Contact Number/Email <br /> Number of devices (If low voltage) <br /> bascriptipn of Work to Be Done: !``r i <br /> t t <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 310.5 D <br /> 1 hereby certify that I have read and examined this application and Ifnaw the some to be true and <br /> correct- All provisions of taws and ordinances goveming this type of work will be completed <br /> whether specified herein ornot. The granting of a pen-nit does not presume to give authority to PERMIT# <br /> violate orcancel the provisions of any otherstate gr.lgcal law regulating construction orthe f �Q Z , dQ <br /> performence of construction. That I am authorized bl y'the owner.of this property to perform the ;J" <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and - <br /> i <br /> 296.20q WAC. <br /> Drate <br /> Signature ' <br /> r;EVlseooe/tl6/aa1Q , <br />