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Jan. 1. 2015 2:09PIM Sound Security Inc <br />No.0144 P. 2/2 <br />ELECTRICAL P ;tM <br />CITY OF EVE. PE <br />3200 CEDAR STRJ MRE <br />425-257-8810 - FAX 425 57-8857 <br />PROJECT ADDRESS <br />Owner <br />Electrical <br />APPLIC <br />VION <br />7,%A 99201 'rf <br />1 verettwa.org <br />Gfy Statamp Lam, L�(D , Phana <br />Man gddreav '. � I . <br />'S �C' <br />Midi Addr.we City Statump 4Z� Phorre <br />r n _ _ . /I I . r _ _ _ C - T!o N)#f In [A qVilk. i fir` -3 IoSS <br />Mall Address <br />SoN 7Al- q�Fb7 <br />5pte lJcense Numbrrr (requlred) <br />Propadd use of Building <br />Squa,a Foolaii, resldendal new wmtr.d.-h, remodel or addl0on) <br />y <br />. (,Il vl ,a (If low voltane) <br />Stoblop Pheno <br />3 <br />Clfy o([Yerat<BuBlnasa Lice" a Number (required) <br />Contract Pdca of rive <br />Coniap pe olcontact Namaad[mall <br />FIDE �) <br />CITy OF EVERE fT LOCAL SALES TAX CODE 15 3105 <br />1 hereby cnr* flat I have read and examined t61s application and knowV1e of work w11' M tobs tiv and <br />conedl. All provisions of laws and ordlnancas governing this fyp <br />whelhor spsciBsd heroin ornoL fie grangng of a porrn/( lawdoenotpresumo st plus n or th ty to P�i #�� <br />vlolate or cancel the provislons of any other state orlocal law rayulogng wnetrudlon or the 5 <br />pn lwmanco o/ conswcb'on. Thnf (am authodzod by the owner of thls property to pentomt the <br />— <br />work whlch oppilcab'on Is mode and IComply Wth the SWto Can6actara!-ew fI RC Jd <br />Arvl D0svWfr <br />