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3317 WETMORE AVE C&D 2020-05-28
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3317 WETMORE AVE C&D 2020-05-28
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Last modified
5/28/2020 1:27:23 PM
Creation date
5/21/2020 10:42:03 AM
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Address Document
Street Name
WETMORE AVE
Street Number
3317
Tenant Name
C&D
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/111,`--4 <br /> LLECTRICAL PERMIT APPLICATION <br /> ;- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8890 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PRQJ CT.S TE INFORMATHMI', <br /> PROJECT ADDRESS: 3 3 f V ul-m0A5 Mt e v ti-R TT JA t -6 Z0` l 6, p <br /> BUILDING AREA(if residential,new construction,remodel,or addition) f21 0 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED SeDUPLEX 0 MULTI-FAMILY-#OF UNITS: li ❑COMMERCIAL <br /> USE OF BUILDING: PES 14Deki T t 1 <br /> ELECTRICAL APPLICATION INFORMATION <br /> <" CONTRACT PRICE OF WORK:$ -760o, c'- <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES M NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): I� fl Q S- O,8 <br /> DESCRIPTION OF WORK: vJticUN( 1Z(ii2 L r (,-t4TIh1G- &'PPLiNOLES, `331101. Q) G1VC_Toe <br /> • <br /> - CONTACT INFORMATION. <br /> OWNER NAME: 11/4,V)5RP11- M AT.L 5y TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 'OR, 214,S+; '6 e-31 <br /> Ku`YS Wb. CITY Wk STATE ZIP 9..e)(M <br /> OWNER PHONE: Z©4, Z271 °I 6 4 OWNER EMAIL: gOJT� Cn cV11614i Gr C(9A9•,, <br /> CONTRACTOR NAME: tA)12:114 G-I t C 7 <br /> s- KU(cE <br /> CONTRACTOR ADDRESS: STREE1,AR i 4 Ut-TCN- W4 V <br /> / <br /> t--VN 14\4 006 <br /> CITY STATE l\ ZIP Ito-61- <br /> CONTRACTOR PHONE: t, ?7 8 q5 O`j CONTRACTOR EMAIL: /r --. "" <br /> CONTRACTOR LIC.#(REQUIRED): P ORT\ E 51361 L_C, CITY OF EVERETT BUSINESS L . QUIRED): Jl <br /> PRIMARY CONTACT: tCtOWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: �/� T C CONTACT PHONE: '2 0w6 22,7 16 SLi, 1 . <br /> ° �1 [ i V 1 k J J,`�// CONTACT EMAIL: g 1 v O514-T- �y-�yl104 1.,. r._. <br /> AGREEMENT..T hereby certify that 1 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 tam 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 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> TT: <br /> dr 2 PERMIT# <br /> tOk <br /> (eC <br /> Owne a orized Agent Signature ate ( (Revised 10/12/2015) <br /> eb1q-r,Q, oV <br /> Nc levo- OD <br />
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