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Jun. 9. 2016 1 : 35PV1 Sound Security Inc No. 0244 P. 1
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<br /> ELECTRICAL,,PERMIT APPLICATION
<br /> CITY OF EVER,ETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, Ey ETT, WA 98201
<br /> 425257-8810 ;-'.FAX 425-257-8857 ,www-everettwa.org .
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<br /> PROJECT ADDRESS
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<br /> Owner
<br /> Mall Address , City State/Zip 7. C • Phone '
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<br /> LIVI_Ce C _ City State/Zip Phone s
<br /> Tenant Mail Address , ,; ��" j
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<br /> 1'R 1 \)g. . �. C- . i.r K•/� State/Zip Phone
<br /> ElectricSDlal Contracto,( Mall Address ;1: ; City ,
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<br /> City of Everett Business Licens Number(required)
<br /> State License Number(required) �- � '�•�j- ,
<br /> ., ) Contract Price of Work
<br /> • Proposed se of Building
<br /> tContact Per-on/Contact Number/Email Square Footage(If residential new construction, remodel or addition)
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<br /> Number of devices (If low voltage) ,
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<br /> Description�of Work to E3e Done: IPt �,. ,
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<br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1°°. -
<br /> 1 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 pannit does not presume to give authority to PeiscLe- oci
<br /> RMIT#violate or cancel the provisions of any other state graacal law regulating construction o thinthe perfomlance of construction. That 1 am authorized'6'y the owner,of this property top _
<br /> work for which application is made and I comply with the State Contractors aw 18.27 ROW and
<br /> 296.20 WAC. " •
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<br /> _ Date
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<br /> Signature '
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<br /> REVISED O13/06/2014 I ,
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