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6517 ELLIOTT WAY 2019-09-04
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6517 ELLIOTT WAY 2019-09-04
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Last modified
9/4/2019 3:47:13 PM
Creation date
9/4/2019 3:47:11 PM
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Address Document
Street Name
ELLIOTT WAY
Street Number
6517
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OCT-2-2018 08:15 FROM:STERLINr ECTRIC 4254858606 Tfl 14252578857 P.2'2 <br /> 4., ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT_ SITE INFORMATION <br /> PROJECT ADDRESS: (PS I? E.L_.IrI OT. `W f -- <br /> BUILDING AREA(if residential,new construction,remodel,or addition) I Soo SF <br /> BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX C71 MULTI-FAMILY-I!OF UNITS: r 0 COMMERCIAL <br /> U5E OF BUILDING: 2-I-SI'De.tJCF <br /> E ECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: 5 2 5 r OOO <br /> NUMBER OF DEVICES(if low voltajje): <br /> FIRE ALARM? in YES .111,NO - - . <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: C. • ,j4 it L O ' OW •" I. S • f *7—. - '_ GE <br /> CONTACT INFORMATION <br /> OWNER NAME: r$64,144 TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET G q, \fU"0 E L.LI or wit._CITY tze _ BTgm„ t zla 93 2 03 <br /> OWNER PHONE: 7 OWNER EMAIL: ?. ��a 771YYY ... <br /> CONTRACTOR NAME: VF. t2-Ll h1GcL G/ I hI G. . <br /> CONTRACTOR ADDRESS: srneeT (q 311 15(per _Ave we _ - <br /> CI * _s.J► EWE VV l YIP " 0 2- <br /> CONTRACTOR PHONE. ' ZS' . • " Z CONTRACTOR EMAIL: N'I '- l• Pail ' - D wR <br /> CONTRACTOR LIC,#(REQUIRED): 1 RL-E.T.,_©C a (.{. CITY OF EVERETT BUSINESS LIC,#(REQUIRED):5 sqR 0 <br /> PRIMARY CONTACT: O OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 20(, . -7q3 • 4152_ <br /> ,...~ <br /> 'rj ss► CONTACT EMAIL: -fe r 1' e a Tr• . , <br /> AGREEMENT:I hereby certify that I have road and exarnined this application end know the cern*to be true and correct. AW provisions of laws and ordinances governing thia type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to Violate or cancel the provisions of any Other state or <br /> loco)law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RGW end 296.200 WAG. <br /> City of Evorett Official Use Only <br /> _ PERMI # • <br /> (Nii • <br /> • <br /> f ' I0/2(1 S EY1® -0[14 <br /> Owner/Authorized Agent Slgnatur• ' i (Revised 0123i2016) <br />
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