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1804 HEWITT AVE 2022-05-12
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1804 HEWITT AVE 2022-05-12
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Last modified
5/12/2022 9:08:52 AM
Creation date
5/9/2022 3:59:38 PM
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Address Document
Street Name
HEWITT AVE
Street Number
1804
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44.77- ELECTRICAL 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 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: I$pH A6wirr qv6 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) 30,c24242 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED El DUPLEX SI MULTI-FAMILY-#OF UNITS: 3SI COMMERCIAL <br /> USE OF BUILDING: a,_Z ! f�" <br /> I <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ Zi',oc o <br /> NUMBER OF DEVICES (if low voltage): IZ.q <br /> FIRE ALARM? — J YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: IN5?q ►vEW AOCAESSAOL. f) NAP_ <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): NE.wiTT ) rx.ES <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: B{ H FIRE Arlo SE.C.v21Ty LZ,L <br /> CONTRACTOR ADDRESS: STREET R) (13OX 37) <br /> CITY A2t.I h)(..)Ors) STATE ZIP 98e2.-3 <br /> CONTRACTOR PHONE: 14a-C ZNy ►i-m CONTRACTOR EMAIL: -.- £Yf @, gti H f)#Z •C.-Or <br /> CONTRACTOR LIC.#(REQUIRED): ���)4U Z.1t,Q CITY OF EVERETT BUSINESS LIC.#(REQUIRED):SS-Co '7 <br /> PRIMARY CONTACT: ❑OWNER 1St CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: ',Fag,— Zt•/''I 11 U.t'- <br /> *f -USAfLi CONTACT EMAIL: Sir c R J I-FI/2-E • Com <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 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 /> PERMIT# <br /> 3 ) (23, FA it <br /> Owne Authorized Agent Signature Date (Revised 10/12/2015) <br />
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