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May. 4. 2016 1 : 53PM Sound Security Inc No. 0233 P. 1 +R' <br /> ELECTRICAL PERMIT PPL.ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4,. <br /> 3200 CEDAR-i STREET, EV; pE 1T, WA 98201 4 <br /> 425-257-8810 :._.,Fm 425-2574857 r rwuvw.everettwa,org <br /> ' —) dd < -) I 'jroc.Lek •cA)c-1,z_e ,. . . c;,.,409 <br /> PROJECT ADDRESS <br /> :1 b ,'. <br /> Owner Mall Address City Stale/Zip Phone <br /> Cri 0 vr-ic,,,r_ rj-) e_s. • <br /> Mail Address r i�, City State/Zip Ahantr <br /> Tenant — <br /> v / , Z5Y--305 . <br /> � no-co) • - .' � �"' � �(~Jr Ll � � State/Zip Phone <br /> Mall Address ;.i : City <br /> Electrical Contract i. . <br /> 56M <br /> ) 3 I4-- <br /> _TP4'gLFBD� <br /> City o, rets Business License Number(required) <br /> State License Number(required) 1 <br /> ^ • <br /> . J•,1 -j WO e- .v 9.� .J,,r Contract Price of Work <br /> Propo'sv�d Use'of Building . • <br /> i a3Li <br /> Square Footage(IT residential new construction, remodel or addition) <br /> Contact Per-on/Contact Number/Email <br /> i1 .L-. <br /> Number of devices (If low voltage) <br /> Description.of Work to Be Done: > -) .).• VC/ 1 <br /> t <br /> •„,, ,•r-• FEE <br /> CITY OF EVERETT LOCAL,SALES TAX CODE 15 3105 S %'' 15 00 <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 /> whether specified herein or not. The granting of a permit doss not presume to give authority to PERMIT# ]� <br /> violate or cancel the provisions of any other state gr,lxal law regulating construction the <br /> the I O` J �� <br /> performance of construction. -hat l am authorized by the owner of this property to perform <br /> work for which application is made and I comply with the State Contractors Law 98.27 RCW and <br /> 296.20* WAG- ) <br /> 7,1117.02//2L. 6 if 0 / (.0 <br /> Signature/ DsteT— <br /> i' <br /> REVISE00/0 °14 <br />