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Dec. 23. 2015 6 : 38AM Sound Security Inc „_________ No, 0212 P, 1 ....._ - <br /> cl <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVgETT, WA 98201 <br /> 425-257-8810 �' FAX 425-257-58'57 ,www.everettwa.org <br /> . .J <br /> L.)(_,,5 v __)2i.„0-a)--N ik-kg .. <br /> PROJECT ADDRESS . <br /> (-• <br /> Owner Mall Address City State/Zip Phone <br /> Eit_e_ IN ''t PAD') 1.-)`,,..)-: i\rt_C_`_)- . Q f_i\-4-e ( 3 &--Y-299ci.a <br /> Mail Address City State/Zip Phone <br /> Tenant ---- <br /> Li <br /> o, n � .�. . d ,�c: .r�` . ° • A A 0 25Y-3(0S5 <br /> Electrical Contractor Mail Address .. City State/zip Phone <br /> aN <br /> `—Ns 9431) -- <br /> _ •. , 1 31 c� <br /> State License Number(required) City of Everett Business License Number(required) <br /> f1 <br /> ,i CLS 1C>�` "� � AC�— <br /> Proposed Use of Building •• • <br /> Contract Price of Work <br /> • <br /> • . a ' ?,5--C7— 5Lf <br /> Square Footage•(if residential new constructs, remodel or addition) Contact Pe -on/Contact Number/Email <br /> ill <br /> Number dt devices(if low voltage) • <br /> Description of Work to Be Done: ';•� '� wI' E1111W ailr <br /> • <br /> } 3 ., " Vat.'a+ . , /1 -/ J/ C(JC.7� �% is---04_(; <br /> �Sle ri -- •ad"V,tSed D,/-grcitiLir?) <br /> _ FEE <br /> `�. 1 °6 <br /> . n1 r <br /> CITY OF EVERETT LOCAL SALES TAX CODE l9 31054' 1 <br /> I hereby certify that I have mad 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 kcal law regulating construction or the F1512- 1561 <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application Is made and I comply with the State Contractors Law 98,27 RCW and <br /> 296.209 WAC. <br /> 5711(ibig.___LA <br /> 1q/ S---- .. <br /> Signature - -pate <br /> I <br /> REVISED ammo/4 <br />