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12800 19TH AVE SE 2018-01-01 MF Import
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12800 19TH AVE SE 2018-01-01 MF Import
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Last modified
6/6/2019 2:39:28 PM
Creation date
4/2/2017 2:17:38 PM
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Address Document
Street Name
19TH AVE SE
Street Number
12800
Imported From Microfiche
Yes
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From:Pacific Power 2533954145 02/'�/2014 11 36 r194 P.001I001 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org a —�/�-)y <br /> ��� ,�1/k, S� C— ��la�--0�to <br /> � ���5�� ,}�.v�.� <br /> PROJECT ADDRESS <br /> �,���r���<z E�� Mc� Ce,�- �'.0 . f�x 38Q(i�3 s� w.�-1�g �`a <br /> Owner MaA Adtlress City Slale/Zip Phona <br /> M�11 Cree,k C�tniL <br /> Tenant MailAEtlross Ciry Staw/Zip Phone <br /> P�c:�;� G�t„¢ra�,<.. SK��4� S . \°16jb ��C �� W/� ���`GO �� as�-345-av� <br /> Electrical Contraclor A�all nddress C�ty State/Z�p Pnone <br /> ��CT���P�-��P. <br /> Stato license Number Contrea Prlce of Work <br /> ^� �,,.-. N,i,�e,� d��-3�5- � �� <br /> Proposed Ust�ol Building Contact Porson (Plan Review) <br /> Square Foolage(I(rpSitleMial new canstruction,remodel or adtlilion) <br /> � <br /> Number o(devicos(If low voltage) <br /> Doscnplion of Work lo Be Done� �! '�`��/'S \�.f�(i` ��^� \-'rMI" � e�e�GCNC� ����.__ <br /> �l v�ZJ'� <br /> FEE <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 � � �� <br /> 1 hr.roby coriily fhnl 1 have�ead nnd exumined(his opplicalion and know Uio same fn be tnie and <br /> e��nucL All pipvisiorrs ollaws and ordinrinr.as govcmin,q fhis typu ol work will be complofed <br /> �vhuthorspecilicd hure+in nr rrol. Tho prnnfing ol a purrnif doos not prosume fo yive oufhonlylo PERMIT# <br /> violate ur r.nnce/fho pinvisions o7 ony o�hor slafe or Incal Inw reyula6ng r.ons(n�cfion or fhr. � 1 ' I O� ' D�� <br /> pedonnunce ol conslniclion. 1Ha11 am aulhonz�d Ly f/ro owner o/(his propwty fu pmlonn lhe 6 `�' <br /> work lor which applicafian is mndc end 1 comply wi(h fhc Stale Canfracto�s Low 78,27 RCW and <br /> 296.200 WAC. <br /> ' Si .Imo Dalel � � <br /> � <br /> acvisco i:�wr, <br />
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