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02/06/2pia THU 15:�1 FA� <br />i <br />• <br />ELECTRICAL PERMIT APPLIGATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 86201 <br />425-257-8810 - FAX �425-257-8857 — www.everettwa.org <br />���� 80th St SW Everett Wa 98023 STE 22Q <br />PROJEC7 ADbRESS <br />f�o03/OV7 <br />Janaco 1111 80th Sti SW Everett WA/982 3 <br />Owner Mail Addraaa Cily State/Zlp Phone <br />Jamco 1111 80th t SW Everett WR/98203 <br />Tenallt Mall Address City StatelZip Phona <br />Li�ht Doctor LLC 21206 66th Ave W l�ountlake Terrace WA/98043 425,48�.500� <br />�IeCtriCa� CorltfaCtor (ypll Address Clty State/Zlp Phone <br />LIGHTDL954L8 <br />State Llcense ►Vumber <br />VV'�rehouse <br />�ropos9d Uae of 6uildfng <br />5quare Footage (if resldantlai ngw Consfruction, remodel or addltlon) <br />Number pf devices (!F low voltage) <br />Doscrlplfon of Work to Be Done: iZB�'Oflt t0 �X1StIriE�1P11t F1XLl.di�S <br />CITY OF EV�RETT I.00AL SALES TAX COPE IS 31D6 <br />$8,714.00 <br />Contract Price of Work <br />Contaci Person (Plan Revlew) <br />I he�by certily that 1 have read and examined lhfs appl�catlon and know th� sama to be frve and <br />correcf. AI! pravls/ons of laws and ordfnances 9ovemfn� thls typA of wo►'k w!!I be complel6d <br />whether spec�f�ed herein Or nof. The grar]li,7g o( 8 parmlt does not presume to glve authorify fo <br />vialaie or canceJ the provisions of any other sfate orlocel law r�sgulaling constrvcllon orlhe <br />perfonnance oiconstructlon. rhat 1 am authonzed by the owner vf thiS property fo perform rhe <br />woric fOr whiCh 8pplfCetJon !S ritad9 and � �pmply with fhe Stafe Contractors Law 1B.2T RCW end <br />296.200 yY9C. /� <br />� <br />FEV73ED 3.(Vf3 <br />FEE <br />� <br />.2�� �� <br />PERMIT# <br />E � �}- � �- -��� <br />