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LLECTRICAL PERMIT APrLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: v*J ��' O ,4 J(' �U L S l= <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ ,2 I(J <br /> NUMBER OF DEVICES (if low voltage): / y <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: f t <br /> " p CONTACT INFORMATION <br /> OWNER NAME: S r+u i rTENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET _/0 6 S I— <br /> CITY /�.✓� STATE A ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Sound Specialized Services Inc <br /> CONTRACTOR ADDRESS: STREET 12433 Ruggs Lake Road <br /> CITY Everett STATE wa zIP 98208 <br /> CONTRACTOR PHONE: 206-427-3455 CONTRACTOR EMAIL: dave.w@soundssinc <br /> CONTRACTOR LIC.#(REQUIRED): SOUNDSS876J9 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 52341 <br /> PRIMARY CONTACT: ❑ OWNER iZ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-427-3455 <br /> dAVE WAITE CONTACT EMAIL: DAVE.W@SOUNDSSINC.COM <br /> AGREEMENT./hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owner/Authorized Agent SignatureDate (Revised 9/23/2016) <br />