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10112/2015 11: 41 4254897996 HOME RUN ELECTRIC PAGE 02102 <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.gov <br /> 10521 19th Place W <br /> PROJECT ADDRESS <br /> SWARANJIT/PARDEEP 10521 19th PI W Everett WA 98204 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address city State/zip Phone <br /> Home Run Electric LLC PO Box 217 Bothell WA 98041 425-489-0791 <br /> Electrical Contractor Mail Addrass City State/Zip Phone <br /> HOMERRE974K2 041019 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Residential $6,500 <br /> Proposed Use of Building Contract Price of Work <br /> 2,100 Michael Smith 206-850-2401 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 7 <br /> Number of devices(If low voltage) <br /> Description of work to Be Done: Re-wire SFR due to fire damage, Low Volt (Phone/Data/Cable) <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �©+00 <br /> 1 hereby certify that 1 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 sp©ciffed herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the I <br /> performance of construction. That I am author9zed by the owner of this property to perform the <br /> work for which application is majo and 1 comply wl the State Contractors Law 98.27 RCW and <br /> 296.200 WAC, <br /> 10-12-13 <br /> Signature Date <br /> REvisED O&OrWo14 <br />