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3105 BROADWAY LEEJI BLUE SKY 2016-01-01 MF Import
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3105 BROADWAY LEEJI BLUE SKY 2016-01-01 MF Import
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Last modified
1/24/2017 4:10:59 AM
Creation date
1/24/2017 4:10:57 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
3105
Tenant Name
LEEJI BLUE SKY
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r--- <br /> r.� i^_ P..a.• � .•r� �o�n.an-uw nu .n �s(car.ni� �onnn000�no r.o... oe.uo.wn y.�..i,,. <br /> ELECTRICAL PERMIT APPLICATiON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX425-257-8857-�+nnw.everettwa.org (o- s -/y <br /> �iyo�-osd <br /> 3105 1I2 Broadway <br /> PROJECT ADDRESS <br /> Leeji Blue Sky Inc 3105 1/2 Broadway EVERETT WA 98201 425-252-3a35 <br /> OwnBf hlailAddress Clty SIa1c/Zip P�one <br /> �Leeji B!ue Sky Inc EVERETT wA 98201 <br /> �enant hlailAdd�e55 City State2ip Phone <br /> ADT LLC »824 NORTHCRE[K PKWY N BOTHELL, WA 98036 zos-7�a-sass <br /> ElectncalContractor A1ailAddress City Slate/Lp Phone <br /> ADTLILL*881 DO 399.00 <br /> State License Number Contracl Pnce of Work <br /> ���}d} (�r,,�i,,� jennifer@nwpermit.com <br /> Proposed Use ol Bui�ding Contact Person (Plan Review) <br /> Square Footage Qt resldenUat new cons�ruc6on, remodel ot addAion) <br /> 1 Control/ 5 Devices <br /> Number ol devices(Il lowvoltage) <br /> Description of Woik to 6e Done I nStal I neW SeCur�ty System <br /> FEE <br /> CITY OF EVERETT LOCAL SALES 7AX COOE 15 3105 �� <br /> I hereby certily(haf I bave road and oxamined fhis applicalion and know(ho samo fo bo frue and <br /> conecL All provisions ol laws anJ ordinancns goveming flus typu ol wodc will bo compleled <br /> whefherspeciTed bn�ein nrvrof. The yranliny o(a p�rmil doos nol prAsumo fo giv�authority(o PERMCf# <br /> violale or cancel fho pruvisiorrs o/ony ofhors7ate orlocol law iegulaling consfmctiat or tho ^ I I r� r__ !.��� <br /> pedormance ol consfruction. Thaf 1�m aufhonz�d Gy!hc owner o/(his property fo peAonn fha t u LO U <br /> work lor which opplication is madc and 1 comply wifh fbe Slatc Conl�acfors Lasv 18.27 RCW and <br /> 296 200 WAC. <br /> :,,:..v-�.,......�..... <br /> ,lennifer Covello a�'•�'�`",""�",��'" 05/29/2014 <br /> Ry�w MonuYnyn. <br /> v <br /> wan..wa-. <br /> �wv�+mi n i n u aem <br /> Sgnalurc Dalc <br /> I;Fncr U Jr,+rr t <br />
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