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1019 PACIFIC AVE 2018-01-01 MF Import
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1019 PACIFIC AVE 2018-01-01 MF Import
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Last modified
12/14/2018 8:25:56 AM
Creation date
2/25/2017 4:58:43 AM
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Template:
Address Document
Street Name
PACIFIC AVE
Street Number
1019
Imported From Microfiche
Yes
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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVEREI?, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—vwvw.evereriwa.org q_�.� � -z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C �,�9,,.()75 <br /> /0/9 %a��s'�G �vE <br /> PROJECTADDRESS <br /> yz r <br /> � _—Ss�►UD/�/OA�/ry�T•Q. /oiy��.fie./��� F�e�,cFll yY1o/ t s�-rifr <br /> Owner Meii Addrest City SINeIZip Phone <br /> Tenant Mail Address City Shle2ip Phone <br /> United Electric Contractors, Inc. — 5301 South 2nd Avenue, Everett, WA 98203 425�252�7811 <br /> EleCtricelConlradof MailAddress Ciry Slate2ip Phone <br /> UNITEEC 176 M5 ��88�� <br /> Slate License Number Contrad Price of Work <br /> /1/OvfY �'6�•T,*i! <br /> Proposed Use o(Building Contect Person (Plan Review) <br /> Square Foolage(If residenlial new construclion,remodel or addition) <br /> Description of Wark lo Be Done: �DO /����'�%E ��k' ��-��� ��'r�y�� <br /> y.4�t•�r`� �c'rr �C o0/1 <br /> NOTE: VNRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �O, I � I <br /> l� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby ceRi/y that 1 have 2ad and examined this application and know the same to be true and j� <br /> correct. All pmvisions o/laws and ordinances goveming this type ol work will be complefed C l Z� ' �' 1 <br /> whether speci�ed herein or nof. The grenting ol a permit does notp rasume to give aufhority to / <br /> violate or cancel the provisions o/any other state orlocal law regulafingpconstruction or the <br /> peAormance ol co�CeNcon is�mede end 18 om�lZeivdith fhe 3tate ContracforsPLaw 18 2 RCW and <br /> � work/or which app ' �Y <br /> 296.200 WAC. l <br /> i <br /> � I /s /.t.- <br /> Sipneture Date� <br />
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