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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.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 5107 Evergreen Way, Everett V7A 98203 <br /> PROJECT ADDRESS <br /> Assi_stance League 5107 Evergreen P]ay, �verett WA 98203 425-252-3011 <br /> Owner Mail Address Cily Slale/Zip Phone <br /> Tenant MailAddress City State/Zip Phone <br /> SME Inc of Seattle 828 Poplar PL S Seattle WA 98144 425-768-3904 <br /> EleclricalContraclor MailAddress City SlalelZip Phone <br /> SMEINS*066DB $24, 897 <br /> Stale License Number Conlract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage Qf residential naw construction, remodel or addition) <br /> DescriptionofWorktoBeDone: 3 . 25 DemonGtYation PV System <br /> �ol�r aan� � s — r�of CvK. a�r T� � <br />� <br /> , , <br /> NOTE: WIP.iNG IN NON-DWELLINGS IS RE�UIRED TO FEE � � c)U <br /> BE iN RACEWAYS, MC OR AC CABLE. � `-' <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceRify fhat I have read and examined this appiication and know fhe same to be true and i_ � � �J � <br /> cor�ecL All provisions o(laws and ordmances governmg Ihis lype of work will be complefed r O <br /> whefher specr6ed herein or not The granting o(a permd does nol �esume fo give authority fo L-. I `- <br /> viola(e orcancel fhe pr�visions o(any othersfate or local law reguPting consfrucfion orfhe <br /> performance o/constrt�c6on. That I am aufhorized by fhe ownerol fhis property fo perform the <br /> work for which applicafion is made and 1 comply�vifh the Sfate Contracfors Law 18.27 RCW and <br /> 296.200 WAC. ._ <br /> � �� I �� �� C� �1Z <br /> � <br /> � �'; � <br /> \gnalure -, Dale <br /> ���_J <br /> ��� <br />