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2204 12TH ST 2020-08-28
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2204 12TH ST 2020-08-28
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Last modified
8/28/2020 1:31:56 PM
Creation date
8/28/2020 1:31:04 PM
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Address Document
Street Name
12TH ST
Street Number
2204
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Al."/", . -,,,all ELECTRICAL PERMIT i==LICATION gLg --.6 .- <br /> ,0„,„./...„.„ . CITY OF EVER E I!"PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 ( FAX 425-257.-8857 I (E)everetteps@everekiwa.gov 1 www.everettwa.govfperni s <br /> PROJECT ADDRESS: 7Za 4- _ .- ' ... [n7 '1zz, <br /> BUILDING AREA(if residential,new construction,'remodel, or addition) , ... . - Si' <br /> BUILDING TYPE: E i SFR-DETACHED E SFR-ATTACHED El DUPLEX. El MULTI-FAMILY-#05 UNITS: #COMMERCIAL <br /> USE OF BUILDING: • S S -.._- - ._.. <br /> . g'• 64 AOP:I .: cA"El iN 10061ziO <br /> CONTRACT PRICE OF WORK: ,, 4 2- ' " <br /> NUMBER OF DEVICES of low olive?: _ <br /> FIRE ALARMVI? EI YES O • <br /> ASSOCIATED BUILDING PER T#(if applicable). . <br /> DESCRIPTION OP WORK: LkS '7"'AL;: 45er �� ~• �" <br /> 7"---"-.;„:•::::::' M :.:- ..'..:;S.::?......: "'"'.---"..',... <br /> wJ� .. ,1� -z..;:,::::: . . . <br /> yrs-p...-.,.. . <br /> OWNER NAE:�� - Atdc� /f-fG+ TENANT NAME)Commercial : • <br /> OWNER MAILING ADDRESS: srREEr• `li I-V 'Sl - - Q <br /> OWNER PHONE:4.1 S'1-.5.1 ' 41.41i'' OWNER EMAIL: , <br /> CONTRACTOR NAME: Fae)P - e-wr-g s.G - . <br /> CONTRACTOR ADDRESS: .7.T -F.° P 1043 <br /> - • orry it �,..� STATEzip .n' l • <br /> CONTRACTOR PHONEk2-S-- - � 1.(g CONTRACTOR EMAIL:'bd .F.t:rJ Pd•P c_ef' ,- ,, --"\#"' ,i <br /> A-b <br /> CONTRACTOR LIC,# - QUIRED): f ..b Pi�i S 5Y CITY OF EVERETT BUSINESS LIG. ; ^EQUlRED): <br /> PRIMARY CONTACT: E l OWNER ..:4 .ONTRACTOR II OTHER.(Please Spe%n '" <br /> CONTACT NAME: , '--,"'‘' ''')---i— <br /> �--�," CONTACT P ' : 4- ,' -- cEg�`�.. 1 11411111 <br /> CONTAC EMAIL: 1,4.42 ..a� ' G...N <br /> . <br /> AGREEMENT.T hereby cerit&that 1 have read and examined this application and •w the aalna to be true and correct All provisions of laws and ordinances governing thr <br /> type of work will be completed whetherspeclfled herein or not Tho granting of a p= •does notprssurne to giVa i thor%e to violate or cancel the provisions of any other st;a or <br /> local lawrdguleting canstruofon or the performance ofconstruction. That!am authoriz= by the owner of this properly to perform the work ter which application is made an I <br /> comply with the Stata'ConirecdorlLew la27ROW and 288,200 WAC. <br /> City of Everett Official -: enly _. <br /> t'/ <br /> > # 1/0 <br /> PERMIT# 1 <br /> iiii.---. .- -_4 _ , s=/-- � 9)p t-Ol.q <br /> Owner-�. d Age Signature Date (Revised 10/72/2015) <br />
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