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10020 12TH DR SE 2016-01-01 MF Import
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10020 12TH DR SE 2016-01-01 MF Import
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Last modified
4/4/2017 8:53:53 AM
Creation date
4/4/2017 8:53:46 AM
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Template:
Address Document
Street Name
12TH DR SE
Street Number
10020
Imported From Microfiche
Yes
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ELECTRICAL PERMIT APPLICi4T10N <br /> CITY OF EVERETT PERM17 SERViGES � <br /> 320D CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-St357—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I UO 2U � 2�1� ,� S� ��(- 6s <br /> PROJECT ADDRES5 <br /> ������ 2 s � .� r�r U '/ � g��� <br /> Owner Mail nddmoa C�ty Sl 2i Phorx: <br /> �lV r <br /> TOoant r Mail AOdmss Clry 51ate2ip phone <br /> �i�,��s'l�� �/��'i��z�.s��r�������i��`v���o�z <br /> EIeCl�iql COritfBCtOf � Mail AdAreGs Ciry StaterGp Ph�ne <br /> �re� ��e �l�y� � 200 <br /> �late Liconse Number Co�t Price of Work <br /> V� (�/ v� e l C��i �f��� D <br /> Pmposed Use of B iid g Conta Person (Plan Review) <br /> Square Fooroge Qf residen6al new consVuctioq remodel or add'Aiun) <br /> Oesaip0on of WoAc ro Be Done: �rJ;�� ��/� <br /> � � '�� <br /> NOTE WIRING IN NON-OWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �� _ <br /> CI1'Y OF EVERETT LQCAL SALES TAX CODE iS 3105 <br /> 1 hare36 cnrlifylhat 1 hava read ana examino0 m�s applicaGon and know the same tp be trua and <br /> coriec�Al/provis�ons otlows and or0inances gowming U�is type o(waic wiiiGe.comploted <br /> whothor speci6ed hu�tin ornot. T/re granGrg ol a pertnrf tl0es not presurn@ to gnro suthonty to <br /> violato or�ncol!ho provisions of any othar stotc or loral!aw roguls6hfl cor7sWcfkxi or the <br /> peAamanco ofconst,ucU'on. 77iat I om evU�onzed 6y the ownar ol Uiis propyrty!o dam fflg � <br /> wak for which applic�Gon is made And!cwnply with U�e SYa2 Cqntr&ctas Law i8.27 RCW and <br /> 296.20p WAC. <br /> � ' 22 � <br /> Signatum Dat� <br />
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