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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 />7531 Lc�wer Ridge Rd <br />PROJECT ADDRESS <br />Rick Richards 7531 Lower Ridqe RD Everett WA <br />Owner Mail Address City <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />StatelZip <br />Phone <br />Phone <br />Home Theatre Specialties 14413 Ash Wav Lynnwood WA. 98087 206-819-3313 <br />Electrical Contractor Mail Address City State/Zip Phone <br />HOMETTS862MN <br />State License Number (required) <br />Single Family Home ��I�S���� <br />Proposed Use af Building <br />�h� � t �c� ��2 ��1� � 2CC��75�. <br />City of �erett Busines License Number (required) <br />$7000 <br />Contract Price of Work <br />don.hts@gmail.com <br />1200 Don Leistiko 206-819-3313 <br />Square Footage (If residential new construction, remodel or addition) Contact PersonlContact Number/Email <br />Number of devices (If low voltage) <br />DescriptionofworktoeeDone: Electrical wiring for a remodel <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerfify ihaf I have read and examined fhis application and know fhe same to be true and <br />correct. All provisions of (aws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granfing of a permit does not presume to give authority to <br />violate or canceJ the provisions of any other state or local law regulating construction or the <br />performance of construcfion. That 1 am authorized by the owner of this property to perform the <br />work for which applica ion is made and I comply with the Stafe Contractors Law 18.27 RCW and <br />296.200 WAC. . <br />'Z '� - /.� <br />REvrseo naivsizn r a <br />FEE <br />���e��— <br />PERMIT# <br />E I� Q(�— Iz3 <br />