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Jul. 26. 2016 2 : 12PM Sound Security Inc No• 0248 P. 1 'i' <br /> . —,— ,gam r <br /> ELECTRICAL PERNUII APPLICAT ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> - 3200 CEDA STREET, Ey En, WA 98201 <br /> 425-257-8810 .-`•FAX 425-257-8857 , /uuw-everettwa.org I <br /> 1 • 1it <br /> , (0 0 O Sh&e0YI Dif-i.t).e-- '. <br /> . ,.., , .. <br /> i <br /> PROJECT ADDRESS . 'i <br /> ,,,,. /,, <br /> Mall Address city stato/Zlp 6.1z5- . Phone <br /> Owner ' " <br /> 4 vn_ City State/Zip _ Phone <br /> 1 Mel Address i, , ki <br /> Tenant ' <br /> all I L <br /> r) <br /> ''' i1. _ 1- • IV 1 I . Z5 <br /> {` (di )0. OW. o,,.r ALState/Zip Phone <br /> Mail Address ; . City <br /> Electrical Contractof . ,;„ <br /> ________13-1±—L3 <br /> 530 ci-r4s 9 Li-8'3)--/ . <br /> State License Number(required) <br /> City of Everett Business License Number(required) <br /> 3_11____5_7_j_ <br /> J S / D' y-r Contract Price of Work • <br /> • Propos- Use of Building • . • <br /> . TZe,14._ L- 5--q—1,1_ ,__aLl__ _ <br /> Square Footage(If residential new construct�o , remodel or addition) <br /> Contact Per on/Contact Number/)=mal1 <br /> f - <br /> Number of devi es (If low voltage) . <br /> . ViOs. (1(tiL ' f '-.- ''. ''' 1 'p --h— . <br /> Description of Work to Be Done: di. <br /> �, • <br /> ' ate <br /> '3;-1-•' FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 \ , 00 <br /> I hereby cerfiry 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 anled hereinpror not The other <br /> granting <br /> a permit <br /> la al law regulating construct on oauthority <br /> rthe to RMIT# O� —o <br /> violate performance cancel the provisions of any <br /> wk for application construction. <br /> s m de and lauthorized by the owner,of this comply with the State Contractors I aw 16.27 RCW and <br /> work for which <br /> 296.200 WAC. ' <br /> .�� td n , <br /> Date <br /> --Signature :',,)4. <br /> id:... <br /> R8145E0 08/08/2014 <br /> - <br />