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Q2/�6/2�1Q THU 15:D2 FAX <br />� <br />� <br />ELECTRICAL PERIV�IT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />d25-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />1111 80th St S'�iT B�veretti Wa 98023 STE 100 <br />PROJECT ADDFlE38 <br />�uo�iuo� <br />Jamco 1111 80th St SW Everett W�/9$�03 <br />Owner Meil Addrese City 5totalZip Phane <br />Jamco ] 111 8Qth _St SW �verett WA198203 <br />Tenanf Mell Address Clty 5tete/Zlp Phone <br />Li�ht Doctor LLC 21706 66th Ave 'VV' Mountlake Terrace WA/98043 425.481 500� <br />Electrlcel Contractor Moll Addresa City State/2ip Phane <br />LIGI�TDL954L8 <br />State Llcense Number <br />Warehouse <br />Proposed Uae of Buflding <br />Square Foatage (if resldentie! naw co�structlon, remodel or addltlon) <br />Number of devices (lf low voltage) <br />oesor�pt�o� or work to 6e �one; Retrofit to Fxisting,�j,gbt Fix�l�res <br />CITY OF EVERETT LOCAL 3AL�S T/U( CODE 13 3105 <br />$7,570.00 <br />Contract Prlce of Work <br />Contact Persvn (Plan Review) <br />I he►�by certlly that 1 have read and exam�ned rhis applrcatron and know fhe sams fo be true and <br />ComeCt. A!I provlslons of laws and ord/rrances �oveming fhls typs of watc w01 be complaied <br />whether specifled hereln or no�. The granl�ng o(a permrt does not prasume to give authority to <br />vlolate or cancel tha provisions Of any other state Or loca! law re�ulafing construct�on or the <br />perfomtance ot consirucfron. That I am authorized by fhe owner of ihis properiy fo perform the <br />work for whlch appllcetlon !s mada snd J comply w/th the Staie Contr&ctors Law 18.27 RCW and <br />2�(�� I'-� <br />RtV/SED 3/:0/!3 <br />FEE <br />�� 3.�� <br />PERMIT# <br />� j�-U�L � c��3 <br />