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Lighthouse Electric 3604274349 <br />• • <br />ELECTRIC L PERMIT APPLICATION <br />CITY OF VERETT PERMIT SERVICES <br />3200 CE AR STREET, EVERETT, WA 98201 <br />425-257-881 �- FAX 425-257-8857 — www.everettwa.gov <br />l(-(�� �C C-(��� rT �vy;'� <br />PROJECT ADDRESS <br />� � <br />1[� � � t� L(/i-�' m TT6 ii'i� �G 2 S <br />�'3�iF}��r:; Nc�� ����i> � � <br />Owner Mail Address <br />Tenant <br />Mail Address <br />City <br />City <br />State/Zip <br />State/Zip <br />p.l <br />Phone <br />Phone <br />�' fli7'�{o%C L=f�cTirc. 1�'� � D�y?'a�-7�k1"�S Sk�C��a k,�9 �t�S84� 3r���`�'l-�t�% <br />Electrical Contractor Mail Address City State/Zip Phone <br />�fGi-i �c� y7 �,j � <br />State License Number (required) <br />��UD <br />Proposed Use of Building <br />are Footage (If residential new construction, <br />Z � <br />umber of devices (If fow voltage) <br />Description of Work to Be Done: -s C` U j� (( <br />CITY OF EVERETT LOCAL SALES TAX CODE I <br />( hereby certify that 1 have read and examined this <br />Correct_ AIl provisions of laws and ordinances go� <br />whetherspecified herein ornot. The granting of a <br />violate or cancel the provisions of any other state , <br />performance of consiruciion. That 1 am authorizec <br />work for which application is made and l comply w <br />296.200 WAC. <br />��. <br />/ �;' " .�� /_. % L�-��,� � ? > <br />REV(SED OB/Ofir1014 <br />o� addition) <br />APP � 1 e o �0 2 <br />City of Everett Business License Number (required} <br />� , � �GoD . °-% <br />Contract Price of Work <br />�t�✓�Y' S�v���.0e�✓'J <br />3G��7'��-C�4�7 � �SA� � �C'-� <br />Contact PersonlContact Number/Email <br />��✓^L'Q�' i <br />FEE <br />i3105 <br />application and know the same to be true and <br />�rning this type of worfs will be complefed <br />�ermit does not presume io give authority to PERMIT# <br />�r local law regulating construction or the �� i��� ���(�� <br />by the owner of this property to perform the I (J� <br />�h the State Contractors Law �8.27 RCW and <br />-� r <br />� <br />