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4105 OLYMPIC BLVD 2018-01-02 MF Import
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4105 OLYMPIC BLVD 2018-01-02 MF Import
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Last modified
2/25/2022 10:41:14 AM
Creation date
2/25/2017 2:50:44 AM
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Template:
Address Document
Street Name
OLYMPIC BLVD
Street Number
4105
Imported From Microfiche
Yes
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ELECTRICAL PERMIT APPLICAT,10N <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 />'S7 O� ,'C, x(j, <br />PROJECT ADDRESS <br />' / (!�IA 111 t <br />Owner ! Mail Address City StatelZio Phone <br />Tenant Mail Address /City State/Zip Phone <br />Electrical Contractor Mad Address City State/Zip Phone <br />State License NL rnber Contract Price of Work <br />Proposed tJ e 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: D 1 �k1_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hemby rertdy that I have road and examined this application and know fire sane to he fare and <br />correct. All provisions of laws and ordinances governing IN,,; type of work will be completed <br />whether s .cr6 1 herein or not TN., granting of a permit does nol presume to give authonly to <br />violate cancel re pr)visions o/ any other star it local law regulating ronsfnrctron or the <br />perforr anco of llrrstnr� n. [haunt art o ye by the owner oflhis property to perform the <br />tvak or wlrirh a rLcnlia is made or r I dh the Slate Contractors Law 18.27 RCW and <br />298. 00 WAC 11 i <br />Dale <br />FEE <br />PERMIT# <br />E 1 301- UC� <br />REVIShD .IgNI ] <br />
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