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May, 4. 2016 1 : 53PM Sound Security Inc No, 0233 P, 2 <br /> a it Y � ,d °; 71 <br /> I a <br /> ELECTRICAL PERMIT APPLICATION • <br /> CITY OF EVERETT.PERMIT SERVICES <br /> TE <br /> 3200 CEDAR STREET, EW TT, VVA 98201 ` ` 11 <br /> 425-257-8810 :LI FAX 425-257-'8857,�,WWw.everettwa,org <br /> C 7� 1 • ll�l�• i , , �(r�,• ,i ,. it <br /> SCC. Z3 /) �� \ • <br /> u�, <br /> , <br /> PROJECT ADDRESS - <br /> • . ,,,yr. ,(ALU r' , „ <br /> , <br /> Owner Mall Address City State/Zip Phone <br /> Q : - 7 7 • ) C= <br /> Tenant Mall Address i, . City State/Zip LiLs— Phone <br /> .0n f -CO P( & , D2070,2 • ti: • P I Jt _CE -CJ 1 Z 5 O -3(s5 <br /> Electrical Contract Mail Address !II: : City State/Zip Phone <br /> 4-9 i)� 1 <br /> ScSN �T� � <br /> 3 ! Lt-5 , <br /> State License Number(required) City of Everett Business License Number(required) <br /> 1 .)K i? A .r•c); 3 ' t 1 • <br /> - Proposed Use of Building •, Contract Price of Work <br /> Square Footage (I:f residential new constructlo , remodel or addition) Contact Per-on/Contact Number/Email <br /> , <br /> . Number.of devices (If low voltage) - <br /> q•- �'- I'' 9 [�a' 5!� L. � <br /> • <br /> Description•af Work to none:Be t% • <br /> I <br /> e tr <br /> n..y,; :, FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE Is 31054-4,‘‘,• <br /> I hereby certify that l have read and examined this application and know the.sameto 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 grlopal law regulating construction or the ` /} <br /> performance of construction. That I em authorized by the owner.of this property to perform the I P 0'3 - 003 <br /> work for which application is made and I comply with the State Contractors Law 18.27 ROW and <br /> 296,20 WAC. �. 4, ' <br /> 1 -' ), <br /> Q �� <br /> �V • <br /> 1 <br /> 1 -i Date I <br /> Signature ' _ <br /> I <br /> REvisED owo6/.Io14 !' <br /> Z <br />