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1615 75TH ST SW EVERETT TECHNICAL PARK 2019-09-18
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1615 75TH ST SW EVERETT TECHNICAL PARK 2019-09-18
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Last modified
9/18/2019 11:10:51 AM
Creation date
9/18/2019 11:10:45 AM
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Address Document
Street Name
75TH ST SW
Street Number
1615
Tenant Name
EVERETT TECHNICAL PARK
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' � ELECTRICAL PERMIT APPLICATION A <br /> TION <br /> . .-.„^ CIF OF E&€kEsT PERmpt Rv4G>s <br /> s 1 �£xAint T 11 EvTA TT_lBA maN <br /> (Pli a2645/./gatti 1 FAX 426atittettl 1 tt#eyet.tto.ttettututto 1 ewaew. gav is <br /> _ .74514 011004, :P601::4t% __. <br /> PROJECT ADDRE iS'15 75TI I 57 SW :L/ILDING AREA: , .., .x. <br /> PROJECT TYPE: 0 NEW CONSTFISICTION 0 ADDITION j TENANT iMPROVNENT a REMODEL <br /> RIaIL D USE: A SF"R 0 TOWNFOUSE A DUPLEX Aoki LI MULTI-FM*0? UNITE: 7 LJM# RCIA, <br /> CONTRACT T E OFRE:$ TE MELDING #I a <br /> EIESCRESE SCOPE OF WORK: <br /> Fit `' A(ING POILE LIGHTS IDI LED RETROFIT ITcD, <br /> THIS INSTALLATION INCLUDES THE FOLLOWING OPE:(SELECT ALL THAT APPLY) <br /> LWIE VOLTAGE WORK? U+O El YES-Select Scope. E feeder 0 Orcuitireit 0 Complete Rewire <br /> LOW VOLTA WORK? Ei t4 0 YES-t� <br /> SELECT SCOPE 6 Qt ED0 TO*a 0 mtercont "sat Ruder nSecure,was �,�",3 Smutty Syment <br /> 0 Pea AIS_hstaaasans tmadar Ilia permit only irate elecarical Immo rough—In ot the system An tesdatonal. <br /> Ride Allem Remit A mowed tat SAW**tlit*WIC* mataillatine sportiest <br /> El Other(Etta AIN <br /> 1S THIS PERMIT EDUCATION,INSTITVt tAL,HEALTH ANDR tt PERSONAL CARE FACILITIES d YES—Sita Beam a Nig.2 <br /> Ey checking this Mx,I am Moen that I have reed arc understand all of WAC 2selected the specific reason on page 2 <br /> of this a at iFee rem )_ C Plan Renew is NOT impanel bettEnit I ttet4 et at the ittlatuttai evG teat**utas au 4 <br /> See is 2 rectae Plat?Renew <br /> ARE URI AN OWNER PERFORMING THE CONTRACTOR WITHOUT ELECTRICAL LICIFISURE,ONO EIYES-See 5 3 <br /> RintiAlant to RON*26261,261, yrs md leasehoteers cannot perksm aiecerical work on budilings tot or Rase <br /> Wince/the Ida,or tiestimbert Ey chatiking Ow bac(ant WongIhaN N haw colluateted and <br /> g Unnati the AFFIDAVIT On paw 3 ei Min appWation to tedsive an exemption from teis ScensaragicerafmaionWeerequirement. <br /> ,, .'. ,t ,�y .. - - <br /> .r_ ,. s '�` ..T.,�_ . � ._.�,.... .... . a" to � .S <br /> oituatEw <br /> sae*, SABEY FIR.-. .B TENIAlam otomEssAI iia ttat F':€, "T ,I I°"44,11C,04, 'rd <br /> stER m t<II o Ao ss e r 1221# TUKWt ITL BLVD 4TH FLOOR <br /> SFATT ?,>s'WA .m98-168 <br /> owNER RHONE:425251 0244 OWNER EMAIL: <br /> CONTRACTOR NAME: -DAPiTAL LIGHTING <br /> CONTRACTOR ESS: miti287 SW 41ST STREET <br /> TON store WA yaw ., <br /> CONTRACTOR PHONE.V?5_ 1 4 "CONTRACTOR EMAIL:krist nagfPcapitattightirtgwa COM <br /> CON RAC TOR LIC.ti/RcouiREDpCAPIT "CITY OF EVERETT BUSINESS LIC,N RLI t1£RE j ...,,.. <br /> , <br /> PRIMARY CORTACT j '-ER PIXINTRACTOP FJOTHEN IPlease Specify) <br /> CONTACT NAME, , �„ CONTACT PONE 5, $ <br /> 1 <br /> Kristina i Goeseve <br /> CONTACT EMAIL:krintinagWapeumlignonqwa.com <br /> r.r ate t have mac arse maw ro se r ate,Atatatanant matte aaa <br /> see amen wee be G rventiaat newt or Ivot Tear iranarq ma mew shies ete trema ott fumy *ntittatt O* **** kat Or <br /> .tae a We amInnewim at tatnamt3ta0. Mat t ata attnautaf br nv etrapswity to eitelem We was Weisel etwestintA mar aura <br /> acuate wat t as.fie Cannaaras Lag 4,62 27 RC*are 24t1.1110*AC eny at Everett Official.Use Only <br /> PEFOAIT r <br /> .1 -46, <br />
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