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3006 51ST PL SW 2017-03-10
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3006 51ST PL SW 2017-03-10
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Last modified
3/10/2017 11:40:06 AM
Creation date
3/10/2017 11:40:05 AM
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Address Document
Street Name
51ST PL SW
Street Number
3006
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04/21/2016 THU 10: 10 FAX 4252521666 CM Heating 0002/003 <br /> !ECTRICAL PERMIT A LICATION <br /> 1277- <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> (P) 425-257-8810 I FAX 425-257-8657 1 (E) everetteps@everettwa.gov 1 www,everettwa.gov/permits <br /> PROJECT SITE INFORMATION . <br /> PROJECT ADDRESS: r 51 "t P L 5 W E " r c W A q 2-0 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPEFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ /CO <br /> NUMBER OF DEVICES (If low voltage): I — C-775-1-44 <br /> FIRE ALARM? 0 YES (NO <br /> ASSOCIATED BUILDING PERMIT# if a..licable <br /> DESCRIPTION OF WORK: r p/a.-a "f S . LTI,,,C' r'ita. <br /> CONTACT INFORMATION • . <br /> OWNER NAME; E<C &41�.l''C Pro "�'�f:,�y TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: eTREET ) /)OO 5E 51- t Zc / LL <br /> CITY <br /> k' /� • <br /> 1 I� 6TATE 1A) rr ZIP '� a 0 <br /> OWNER PHONE: I i 6O t/`I bliji m11.41 <br /> CONTRACTOR NAME: <br /> OA/ WeZ.1.1h iOf <br /> CONTRACTOR ADDRESS: STREET 1 /`Q dtV <br /> CITY FV ''I STATE / zIPlSS2O <br /> / I <br /> CONTRACTOR PHONE: 25 ,• ,p �,50 CONTRACTOR EMAIL:/I^/ �//,� •' e y. ) .•, eta <br /> CONTRACTOR LIC, #(REQU1RED)�I"' -A-P4 :77 CITY OF EVERETT BUSINESS LIC, #(REOUIRED)eX009g <br /> PRIMARY CONTACT; 0 OWNER CONTRACTOR 0 OTHER (Please Specify) ' <br /> CONTACT NAME: CONTACT PHONE 41-25 a 59 D55O <br /> AI <br /> CONTACT EML: ' rc� <br /> �-- �.� CM keah n . COMAGREEMENT. T hereby earthy the/I have read and examined this application end know the same to be true and do,rect. All provisions of lows nd ordinances governing this <br /> typo of work will he completed whothor opacified herein or not, The grenttng of a permit does not presume to give authority to violate or canoe,(he provisions of any other slate or <br /> local law regulating construct/on or the performance of construction, That I em authorized by the owner of this property to perform the work for which application 7s made and l <br /> comply with the State Contractors Lew 78,27 RCW end 296,200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> • <br /> PERMIT# <br /> • AOA ;: SIL& • . 21 Ik° EI (06q-I�1 <br /> 0 .er/Authorized Ag: t SIgnatUre Data (Revised 10/72/2015) <br />
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