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10019 12TH DR SE 2017-01-13
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10019 12TH DR SE 2017-01-13
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Last modified
1/13/2017 9:06:17 AM
Creation date
1/13/2017 8:46:35 AM
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Address Document
Street Name
12TH DR SE
Street Number
10019
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E�.ECTRlCAL PERMfT APPLICATION <br /> CITY O� EVERETT PERMIT SERVICES <br /> 3200 C�nAR STREET, EVERETT, WA 98201 <br /> 425-257�8810 - FAX 425-257-8857 -www.evere#twa.org <br /> APPLECATIONS ARE ACCEPTED FROM 8 AM T�4 PM <br /> ��D�� �2��i �i- s,�i �'�Gr�� <br /> PROJECT A�pRESS <br /> ��� /� � �� � <br /> Owner Mail Addre State2ip Phone <br /> �1� <br /> Tenant Mail Address cay Seaterz;P Phor� <br /> . <br /> ls l� � ���y v ��l r�/ �2 6 2��� . <br /> €1s 'caf Contrador Ma�E Address Cit�+ State/ZiD Phane <br /> r f�� 9���� �D� , � <br /> State LiCer►se Number CorYU-act Prrce of Work <br /> ��r' � G� <br /> Proposed se f Suilding C ct Petson (Plan Review) <br /> ��?-20 <br /> Square Footx�ge(If residential new construction, remod�l or addi6on) <br /> Deseription of Work to se Done: CJ !// �f�2r.�/Gf/ <br /> f/ �j . <br /> (�OTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �EE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> GITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> f hereby cerfify fhat/have read�nd examined lhis applic�Hon ar►d know the seme to be true end �f 2�-� _ � 2� <br /> correct All pravisions of laws and ort9inarices goveming this type of work wil!be completeA <br /> whether spec'rt",ed here,»ar not. The grsnting of a perm�r daes not prrasume to give euthority to <br /> violafe or cance!the provisrons of eny othe�state orlocal Isw r�gul&ting constnrction or the <br /> performance oi constiuction. Thaf!am aufhoRzed by fhe owner of this proper(y fo p�rform the <br /> waric for which&pplicafian Is made and I canply witt►the State ContracMrs Law 18_27 RCW�nd <br /> 296.200 WAC. <br /> � <br /> S� at Date <br />
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