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5622 LOWELL RD 2020-05-08
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5622 LOWELL RD 2020-05-08
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Last modified
5/8/2020 9:20:09 AM
Creation date
5/8/2020 9:19:46 AM
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Address Document
Street Name
LOWELL RD
Street Number
5622
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L_ECTRICAL PERMIT Ari r"JCATOON <br /> N/ . 4, CITY OF EVERETT PERMIT SERVICES <br /> /Em' r ET <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 j FAX 425-257-8857 1 (E) everetteps©everettwa.gov I www.everettwa.gov/permits <br /> . . , .: • . . . RfIJ <br /> . .. : :lP....,.•_.EC`II':.SDTE:0NFAR�:.,I�t`�`11�G�:':� � :..• <br /> PROJECT ADDRESS: .5-6 J-/ <br /> BUILDING AREA(if residential,new construction, remodel, or addition) a:d 4147 SF -to /%74-c4 <br /> BUILDING TYPE: -S`-R DETACHED 0 SFR ATTACHED 0 DUPLEX EI MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: SF/C <br /> • . ... ELECT,•,LICA.APPLICATION INFO <br /> CONTRACT PRICE OF WORK:$ 4—o0 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES FSO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: z// 7 - - ��� ���� Com: /. 47 r <br /> czfrial ..e>et �1 t'o e,r)J /Li'N7 G F( C'—/ - 4 <br /> OWNER NAME: /446-/-7 ,- // TENANT NAME(If Commercial): <br /> 'OWNER MAILING ADDRESS: sT � L <br /> R <br /> r cc 12— O'i-''e /// <br /> CITY !/�hr// 1 YCLcIC STATE 2-6 ZIP <br /> OWNER PHONE: 4/2 �f�fS ,.76,/.S`r OWNER EMAIL:C2.--/-t.,a ' tui f u• z-s-4;h y-14:)//® 'd4 <br /> CONTRACTOR NAME: ih e <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(RE_QUI RE_D): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> {PRIMARY CONTACT: INER 0 CONTRACTOR 0 OTHER(Please Specify) N v <br /> CONTACT NAME: / CONTACT PHONE: 4/25 L/'S 3675- ,� <br /> A/e`r CONTACT EMAIL: 0_W cic%�I n'/l /62 tic 4C/Qes ."/25h e L� <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 I am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors taw 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> E - oG 3 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />
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