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r <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> 912 PECKS DRIVE <br /> PROJECT ADDRESS <br /> NOTABLE HOMES <br /> OwnCt hlail Address Cily State/Zip Phone <br /> N/A <br /> Tenant Pdail Address City Stale2ip Phone <br /> PRO ELECTRIC, LLC 11014 19th AVE SE PMB137 EVEkETT,L4A 98208 4258705386 <br /> EleclriCal Cont�acto� Mail Address Ciry Slale/Zip Phone <br /> PROELL*967BZ $5000.00 _ <br /> State License Number Contracl Price of Work <br /> Proposed Use of Building Conlact Person (Plan Rev��w) <br /> DescriplionofWorktoBeDone: �4irirlg of duplex dwelling <br /> NOTE: WIRING IN NON-DWELLINGS IS REQU�RED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA3LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhat I have read and examined this application and knou�(he same fo be tn�e and <br /> correct. All provlsions o/la�vs and ordinances governmg this type o/��ork will be completed <br /> whether specilied herein or noL The yracting o/a permd does nol iresume(o give aulhonty to <br /> violate or cancel the/�rovisions o(any other sfate or loca!law regulatin�constniction or the <br /> perfomiance o/conctruclion. iat 1 arn authorized by fhe awner ol this property to perlorm fho <br /> �voik lor which applicalion is .de and 1 comply�vith fhe Sfate Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � � <br /> _�?=�---- _,�•_p 5 <br /> Sic�nature Date . _ _'� � <br /> �� <br /> � d < �� � <br />