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1801 VIRGINIA AVE B 2020-04-02
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1801 VIRGINIA AVE B 2020-04-02
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Last modified
4/2/2020 2:18:31 PM
Creation date
4/2/2020 2:17:50 PM
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Address Document
Street Name
VIRGINIA AVE
Street Number
1801
Unit
B
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R <br /> ECTRICAL 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 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: /fft2f //rf/B"i tom- ve � ✓fevefl, e4/fF' f tf'W <br /> BUILDING AREA(if residential,new construction,remodel,or addition) t-e n4--ocIeQ SF � (� <br /> BUILDING TYPE: 0 SFR-DETACHED,SFRATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: � �` '�?jj t /el/J(1— '- a dd A4 I L. c� P 2 k i a <br /> . . . , , <br /> CONTRACT PRICE OF WORK:$ & e ) <br /> NUMBER OF DEVICES(if low voltage): 3(X,Q <br /> FIRE ALARM? '%YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): Pc / <br /> DESCRIPTION OF WORK: <br /> J. '€ a 794-c 42A k.q.C,_24,k6::::. �c <br /> iy-c Jut <br /> ONTAC`T INF[' Ril t t'1t`ION . , } <br /> OWNER NAME: ,(e-/f/t'3 P8 J t TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET /e 6/ V/Vpitt <br /> CITY I verett— STATE W ZIP 9:Srca-tr <br /> OWNER PHONE: �,rj — 3/$- 95e2/' OWNER EMAIL: etz 1`5'7'ua t s-e M-F<C. v1- <br /> CONTRACTOR NAME: A Mirec et(e: 67t5 4-14. 7-t 6,3 <br /> ,r� <br /> CONTRACTOR ADDRESS: STREET'75 - !/Irl Ave_ /V `r <br /> CRY Gvis 411'4 moi/ STATE 4244 ZIP 9--r ta+` -,Lal— <br /> CONTRACTOR PHONE: 2-19 307-/ ` /?`®/ CONTRACTOR EMAIL: 'tee)COa 4" /?o‘71114:Cis& fG G p 4? l <br /> CONTRACTOR LIC.#(REQUIRED):A/l/oR&/f 'k:f CITY OF EVERETT BUSINESS LIC.#(R UIRED): <br /> PRIMARY CONTACT: 0 OWNER XEONTRACTOR 0 OTHER(Please Specify) t� <br /> CONTACT NAME:�y CONTACT PHONE: 2-®� — /,.- l�o/7 <br /> Toe, ,A fit d( 'i �C CONTACT EMAIL: J .fir ..�._ <br /> fJ�{a7 a Ace t�C`E�d:STt'"`!C-r c-077, <br /> AGREEMENT::t hereby certify that!have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this 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 /> local law regulating construction or the performance of construction. That lam 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 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> 757441.4., PERMIT# <br /> /1 --/7- //' 7 E � 2 - g � <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />
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