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Dec. 2, 2015 9 : 06AM Sound Security Inc No. 0202 P. 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVFj�ETT, WA 98201 <br /> 425-257-8810 FAX 425-257-8857 ;\vvvw.everettwa.org <br /> r � <br /> PROJECT ADDRESS <br /> Owner Mail Address city State/Zip phone <br /> Tenant Mail Address City State/ZipPhone <br /> 4?-7 <br /> (l s of 6' r9A SJ- E lere.�- W* U16 2-5,-.3(oS.5 <br /> Electrical Contractor Mail Address City StateOp Phone <br /> yZ <br /> State License Number(required) City of Everett Business License Number(required) <br /> �r ¢p <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage (If residential new construction, remodel or addition) Contact Per on/Contact Number/Email <br /> i l <br /> Number of devices (if low voltage) �� <br /> ' p �I <br /> Description of Work to Be Ione: I' <br /> D <br /> r• FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE 13 3105 <br /> AI � a <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 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 <br /> perfonnance of construction. That I am authorized by'the owner of this properly to perform the <br /> work for which application is made and I comply with the State Contractors Law 16,27 RCW and <br /> 296.20 WAC. <br /> Signature Date <br /> REMEO 06/06/2074 <br />