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Jul•26. 2016 2;13PM Sound Security Inc No,0248 P. 2 Jil <br />A M1 <br />ELECTRICAL PE'RMIAPPLICATION <br />CITY OF EVERETT PERMIT SERVICF-S <br />3200 CEDAR, STREET, EgFFTT, WA 98201q25-257-8810FAX 425-257-57,.- everettwa.org <br />i <br />PROJECT ADDRESS - <br />C�`-� L Clfy Stato2lp / ' Phone <br />Owner <br />V <br />Tenant Mail A ss {, <br />Clectrical Contractor Mall Address <br />55N <br />State License Number (required) <br />_ ,� ro - s <br />Proposed Use of Building <br />Square Footage (U residential new constructio , remodel or addition) <br />Numb o{ devices (If low voltage) <br />Descriptign of Work to Be Done_ <br />City <br />statel ip Ls -- <br />Phone <br />mil! reL�- I M 1 Z 5 8-3 0 S.5 <br />City State/Zip Phone <br />13 ) Lf —5 <br />City of Everett Business License Number (required) <br />-?.-7 <br />Lit-- q 'I I / <br />Contract Price of Work <br />75 <br />ontact CPon/Contact Number/Email <br />t 'llt <br />PEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 O <br />. ication and know the . same to be true <br />1 hereby certify tht I ov laws and ordinances golvem ng this type of work will be completed and <br />correct. All provisions <br />whether specified heroin or not The granting of a permit does not presume to give authority to Pi=RMIT <br />violate or canesl the pmvielons of any other state gtfacel law regubsting eonse r t o perform the E 1 l0� Ol <br />performance of construction. That I am authortzed yy the owner.orthts property <br />worfor which application is made and I comply with the State Contractors Law 98,27 RCW and <br />k <br />296.20 WAC. <br />re <br />REVISED owGI2014 <br />