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02/06/2pia THU 15:01 FAX <br />• <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERIUIiT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-2s7-8810 - FAX 425-257-8857—www.everettwa.ore <br />1��� 80tk� St SW Eve�ett Wa 98023 STE 250 <br />PROJ�Ci AbDl2ESS <br />�Opz/p07 <br />Jamco 1111 84th St SW Everett WA/98203 <br />Owne� Mail Addrese Cily State/Zlp Phone <br />Jamco 1111 80th St SW Everett WA/98203 <br />Tenflnt Mefl Address Clty 5fate/Zip Phone <br />Li�ht Doctor LLC 21'706 66th Ave W �Vlountla,ke Terrace WA/98Q43 425,481.5001 <br />Elecirical Contractor Mall Addreas � T' City 5tate/Zlp Phone <br />�IGHTDL954L8 <br />State Llcense Number <br />'VV'�trehouse <br />PrOpOsed Use of Bullding <br />Square Footage (If resldentlal �ew constructlon, remodel or additlpn) <br />Nurriber of devlces (IF low vpltege) <br />oos�ri�tion ofwork to Be �ona: Reirotit to rxisting,�ght Fix�res <br />CI'F'Y OF EVER�TT I.00AL gAI.Es TAX CODE IS 310R <br />$5,450.00 <br />Contract Prlce of Work <br />Contact Porean (Plan Revlew) <br />I heraby certify fhat I h&ve r�ad and examined lhis �pp!lcgtion and know the same ta be hve and <br />cbnvct. All provislons of laws and ordlnances govemin� thls (ype of work w11J be Compfeted <br />wh9the�spBc/fred her'9in or r�ot. The Brantin� of a pem7it does not presume to glve aufhorlty to <br />vio/afe vr CanCe! the prvvisions of any ofher sfate orloc8/1aw re�ulating const►vc�lon or the <br />performance of constructlon. rhaf 1 am eufhonzeQ by the owner of this prapeny f0 perform tAe <br />work fo� whlCh Bppllcatlon !S rnade and I Comply wJth the Stete Contractors Law 18,27 RCW and <br />296.200 WAC.�` <br />2 ` lU-' � <br />REVlSgO �/2DH3 <br />1=EE <br />I ��• I J <br />PERMIT#� <br />E��}��- �.�`� <br />