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Ma r, 14. 2016 3 : 01 FM Sound Security Inc No, 0226 F. 2 <br /> - i - <br /> ELECTRICALPERMITzAPPLICATION <br /> CITY OF EVER,ETT'PERMIT SERVICES <br /> 3200 CEDAR-STREET, EU�FETT, WA 98201 ; <br /> 425-257-8810 :r-" FAX 425--257-8857,�Y,'truww.eve rettwa.org <br /> < �- <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> f, i <br /> 1 <br /> 1(CO �� �` ) StateiZl Phone s <br /> Tenant Mail Address i, J City N p C <br /> n►�ol c. fir-. r � ��� <br /> Electrical Contractor Mall Address ;. ?ji: ' City Stata/Zlp Phone <br /> C0 WE)'D-7 3 ) <br /> City of Everett Business License Number(required) <br /> State License Number(required) <br /> L <br /> Proposed Use of Building -` Contract Price of Work <br /> Square Footage (if residential new constnachfo-, remodel or addition) Contact Per ott/Con#act Number/Cmah <br /> Number of device (If lowvoltage) p <br /> Descriptign•of Work to Be Done; ) <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODF-IS 3105 <br /> I 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 governing this type of work will be completed <br /> whetherspecified herein ornot. The granting of a permit does not presume to give authority to PERMIT## <br /> violate or cancel the provisions of any other state qr,tacal law regulating construction or the <br /> performance of construction. That I am authorized'by the owner.of this property to perform the t-W((C`© <br /> work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and <br /> 296.20 WAC. <br /> signature Mite <br /> RgVIseO oms/ao t 4 <br />