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02/06/201Q THU 15:02 FAX <br />� <br />� <br />ELECTRICAL PEt�MIT APPLICATION <br />CITY OF �VERETT PERMIT SERVICES <br />3200 CEDAR STR�ET, �V�R�T7, WA 98201 <br />425-257-8810 - FaX 425�257-8857 -- www,everettwa.org <br />1111 80th St SW Everett Wa 98023 STE 125 <br />�JOV6/007 <br />PROJECT ADDRESS <br />Jamco 1111 80th St SW Everett WA/98203 <br />Owner Mall Address Clty 5tate/Zip Phono <br />Jamco 11 i i 80t]� St Sw Ever�tt 'VVA/98203 <br />Tenant Mall Addresa Clty State/Zlp Phone <br />Li�ht �octoz� LI.0 21706 66th Ave W Mountlake Tenace WA/98043 425.481.5001 <br />Electrlcel Contractor Msll Address ary 6tatelZip Phone <br />��G�ITD�.954�.,$ <br />State Llcensa Numb@r <br />Warehouse <br />Proposed Use of Bulldin9 <br />Square Footage (It residentlal naw constructlon, remodel or additlon) <br />Numbor of devlcee ({f low voftege) <br />�escr�pt�on of Work to 6e Done: �'etI'O�li �4 E7C1Stlri,�* �.1��� �'1Xh1�'88 <br />CITY OF EVERETi LOCAL SALES TAl( CODE IS 3105 <br />$3,610.00 <br />Contract Prlce of Work <br />Contact person (Plan Review) <br />I here6y cerllfy fha� / have read and exemined thls applfcatlon and know fhe same to be true and <br />cor�cL A!I provlslons otlaws and ord/nances govem/ng thls �ype olworic w!!! be completed <br />wheiher specUled hereln or no�. Tire granting of a permR does not presume to glve auihorrty io <br />vlo/ate or cancel the provlslons ol eny other state orloca! law regulatlne constnlcllon orlhe <br />psrfarmancB of constrvctlon_ Thet I am euthorized by fhe owner o� thls proper2y to perfoirn the <br />woifc for whrch �pp!/callon Is made and I comp/y wllh the State Confractors Law 18.27 f�CW and <br />Rewseo a�za» <br />FEE <br />�� � �� <br />PeRMr�# <br />E i���� -�Z, <br />