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02/05/2p1Q THU 15:�2 FAx <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CI`�Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9B201 <br />425-257-8910 - FAX425-257-8857—www.everettwa.org <br />�ou5iou� <br />� 11 ]. 80th St SW Everett Wa 98023 STE 150 <br />PROJ�CT ADDRESS <br />Jamco 1111 80th St SW Eve�ett 'VV�A/982Q3 <br />�Wnef Mefl Address Clly Slate/Zip Phone <br />Jamco 1] 11 8 th t Everett WA/98203 <br />Tenant Mell Addraes City Statel�lp Phone <br />LiQht Doctor LLC 2�706 66th Ave W Mountlake Terrace WA/98043 425.481.500� <br />Electrical Contraclor Mail Address Clty Stete�Zlp Phone <br />LICYHTDL954L8 <br />State Llcense Number <br />W�rehouse <br />Proposed Use of Bu��d�ng <br />Squara �ootage (If resldentiel new conetructlon, remodel or addltlon) <br />Numher of devlces (If low vottege) <br />�escription otwor� co ae oo�e: Re�t'ofit to Exast�n� LZ� Fixtur�s <br />CITY OF �VERETT LOCAL 8ALE8 TAX CODE IS 3105 <br />�iQ�,079.00 <br />Contraet Prfce of Woric � <br />Contact Person (Plan Review) <br />l hereby eertily fhaf ! have read and exem/ned fhls appJlcatlon and know tf�e sama fo be Inie and <br />correct. AN prov/sJons oflaws and oMlnences govem/ng fh/s typa orWo�k wlll be compl8ted <br />whefher sAeClflgd herern or nof. The ,gran�ing oi a permll does not presuma to glve aulhorlty to <br />vlo/ate or CAncel ti►e provisivns of any oiher state orlocel law regulating constructlan orlhe <br />perfo�rnance of constructlon. Thet ! em aulhoNzed by the ownar of rhls properly to perfomr fh9 <br />wor'k for, whlCh 8pplfcallon is made and I comply w/th �he Sta�e Confracfors Law 16.27 RCW and <br />� <br />RF�15F0 3/20H3 <br />2 — �fj ' � <br />FEE <br />I c� �- �— <br />PERMIT# <br />E��c,� - c��=� <br />