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2712 COLBY AVE 2019-11-01
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2712 COLBY AVE 2019-11-01
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Last modified
11/1/2019 7:27:49 AM
Creation date
11/1/2019 7:23:21 AM
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Address Document
Street Name
COLBY AVE
Street Number
2712
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/ 040. <br /> } .. EECT,1 4'4CAL PEMll !it 1. UC4'.TIO13 tY <br /> %,-.,,,...>-.6-7,E-,/,,,--7- 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 /> : )P O M"' ' <br /> 'PROJECT ADDRESS: 2-7'2 C /6', / �t/�e_z-- <br /> BUILDING AREA(if residential,new construction,remodel, or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: P COMMERCIAL <br /> USE OF BUILDING: .411101 <br /> I E L1 OV;MAL 4',PI1�L,it 11�+�11� IN> ®il l A Q D r.: ' : .. .. .. ....... <br /> :. .. <br /> CONTRACT PRICE OF WORK:$ 3 Dfir ' <br /> NUMBER OF DEVICES(if low voltag:):. <br /> FIRE ALARM? 0 YES ■ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 2(90 Ifll4 P ,i/ i-ii S i g V1 ; 5/G4 s/vD COC 1 <br /> - - • ... .,.G'H'1tellF®RMAT1OMi � . <br /> `Y1OWOWNER NAME: TENANT NAME(If Commercial): V X644°1---- <br /> OWNER <br /> NER MAILING ADDRESS: STREET <br /> CRY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> . . x " <br /> CONTRACTOR Pitt 5 EI.fGTR/G. Sfel,/ei L L G <br /> :R <br /> CONTRACTOR ADDRESS: STREET /I6pza /ti 202 '�a }Lt <br /> cm, Spo K ¢ t/,//c STATE 16/4 ZIP rg <br /> CONTRACTOR PHONE: 206 3 5-3 'Z d 9 CONTRACTOR EMAIL: /VL.(1)./1 ;11 ) ,L ) : Gvit1 <br /> CONTRACTOR LIC.#(REQUIRED) Al ch. c S '59 g'& CITY OF EVERETT BUSINESS LIC.#(REQUIRED 57/ <br /> > <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: /'tel�q ' CONTACT PHONE: Z06 3 Jt 3 S2/9 <br /> 1 t/ 11( OLA• }(L) I/Vf'(/ CONTACT EMAIL: /y Le A/, � x 4 ith9.0 . 41 <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type 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 /> local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 98.27 RCW and 296.205 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> c-c- 1 12/2 7 /Za/7 E lR- k - VA14 <br /> ner/Authorized Agent Signature Date (Revised 10/12/2015) <br />
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