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— . Sep. 28. 2015 10:45AM Sound Security Inc No, 0184 P. 1 <br /> • <br /> :,,, 0 - l• <br /> ,.:, <br /> - ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—WWW.everettwa.org <br /> 11201 <br /> i a• v€rcire.�� LA a,-,j <br /> L., <br /> PROJECT ADDRESS <br /> Owner Mail Address City • State/Zip , Phone <br /> 9( 2 <br /> • <br /> Tenant Mail Address CityState/Zip � _ Phone <br /> I .Ssol �� G ( 22a(1rel` _S .... 5E-3(055Z <br /> Electrical Contractor Mail Address City State/zip Phone <br /> _ 131 <br /> `-�' 5 <br /> State License Number(required) City Everett Business License Number(required) <br /> CP, -A i L 1 ctid-tnbic 0 4--.‹. k.f i - - . A 0 ,i, 1 i 1,.? 51/ et <br /> ....., i - , <br /> Proposed Use of Suileting Contract Price of Work <br /> • <br /> Square Footage(lf.residential new construction,iemodel or addition) Contact Per-on/Contact Number/Email <br /> L-1-' .--5 ' , • <br /> Number of,devices(If low voltage) <br /> • Vc <br /> o o Be Done: t_.'� tfcq, .. •.' � <br /> 11/ <br /> Descriptionf Work t <br /> t n.40, .arch-C)1 61-- - <br /> FEE ,,q� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 '' (i o� <br /> I hereby certify that I have read and examined this application and know the same to be two 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 PERMX T# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the ownerof this property to perform the E i" / a R- 01 a <br /> work for which application is made and I comply with the State Contractors Law 18,27 ROW and <br /> 296.20 WAC, <br /> . i abs715 <br /> 571131°12.1 <br /> _ Signature , / Date <br /> ReVISED 08/08/2074 • <br />