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Dec. 23. 2015 6 : 38AM Sound Security Inc -No. 0212—P. 1- <br /> ELECTRICAL PERMITAPPLICATION <br /> _ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVVIRETT, WA 98201 <br /> 425-257-8810 •�' FAX 425-257-5857,—,Www.everettwa.o rg <br /> PROJECT ADDRESS . <br /> ff s <br /> - t`I``` <br /> Owner Mall Address City State/Zip Phone <br /> CityState/Zip Phone <br /> Tenant Mail Address , i i — <br /> SDni61 `)I, '' '‘c__ ► ., 4. d ;(i. •rte` . . 0 V A A °4 • Z5Y-3loS5 <br /> Electrical Contractor Mail Address ..• City Stale/Zip Phone <br /> aN ap,c 9 48-L---1 •, <br /> , • . <br /> .. <br /> 3 J f . <br /> Business License Number(required) <br /> State License Number(required) City of Everett7 } <br /> • 1 <br /> C( ',tCLS5 1 01.75Y`F\ ( m c 680�� <br /> Proposed Use of BuildingContract Price of Work <br /> • <br /> • <br /> ,______ '-'7-N. , <br /> Square Footage•(tf residential new construct Vin, remodel or addition) Contact Peron/Contact Number/Email <br /> Ifs - .�. , <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done_ a <br /> I, <br /> ..pi'�G� �' ---it rw......d„,„.,.us..l...rtis.-l,w„.— i.rzmAtl <br /> -7I. FEE <br /> 1_ ' y� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 . r' 4 F P9 <br /> 1 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 does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or-local law regulating construction or the E�� In <br /> performance of construction. That I am authorized by the owner.of this property to perform the L <br /> work for which application is-made and r comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Sign , bT)-----'0101R. _ A ‘-q .-1)511,11 S--- ________ <br /> ature .bete <br /> • I <br /> REVISED owo5/2014 <br />