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120 W CASINO RD 28 A PARK 120 APTS 2023-01-23
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120 W CASINO RD 28 A PARK 120 APTS 2023-01-23
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Last modified
1/23/2023 1:59:18 PM
Creation date
1/23/2023 1:59:06 PM
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Address Document
Street Name
W CASINO RD
Street Number
120
Unit
28 A
Tenant Name
PARK 120 APTS
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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> PROJECT ADDRESS <br /> 0,ri c-, c,'i ^c) '2� �� t ��Z���i �z5=3.5-3- �SsS' <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> 7 7 /e c' c- jc'"PS 2 v e; vle LkZ,4 �52007 /Z t"�'527 Y' 4'Electrical Contractor Mail Address City State/Zip Phone <br /> 77CLEESU 16 �� � <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage (If residential new construction, remodel or addition) <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: re C--t\ c) cx✓- �J <br /> CA <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ;D <br /> O J <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That 1 am authorized by the owner of this property to perform the E ! 3 ` ? - O &Cf <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and l <br /> 296.200 WAC. <br /> <�/�' Y/ 6U c V-- 12- - /3 <br /> Signature Date <br /> REVISED 3/20/13 <br />
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