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12607 18TH DR SE 2016-01-01 MF Import
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12607 18TH DR SE 2016-01-01 MF Import
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Last modified
4/10/2017 10:18:02 PM
Creation date
4/4/2017 3:46:08 PM
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Template:
Address Document
Street Name
18TH DR SE
Street Number
12607
Imported From Microfiche
Yes
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❑ <br />� <br />ELECTR��A� p�RIVIYT' �FF�fLd�A"�"GC�h� <br />CITY OF EVERETT PERMIT SERVICES <br />32C0 CEUAR STREET, EVERI_ i l, `�'!A 98201 <br />425-257-8810 - FAX 425-257-3857 —.��:, :� evere(tava org <br />����8 ,_ D/L, S,� <br />PROJECT ADDRESS <br />6o-�.no.,, /��,��c��..n.�-r��,,, .�oti �.�"' _ <br />Ov:ne� I.la�lAtldress C�;y Stale�Z�p <br />Tenan� <br />L7a�l Addres <br />cr,y <br />Slale/Zip <br />Phone I <br />Phenc <br />CJc`��a���T/LL l\r9-�- �=���-,� _ _ . <br />Eiectrical Conirador 1.iad Ahdres> C��fy S�ale/Z�p Phone �, <br />L✓�t T/ c L q1/ /�� ____. <br />5�8i? �'.rn�'15C ��'Jfi1hP( <br />Proposed Use of Building <br />Square Foolage (Ii residenlial ne�v conslruction, remodel or addition) <br />NumLer of devices Qf lov+ voltage) <br />Description o( Work to Qe Done: ���� �0 �u- �JL �=_ . _ _ . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� <br />`✓� <br />Coniract Pnce of ��lq�k <br />Confact Per;on (Plan Rzvie�v) <br />I hereby certJy llref I haoe read and exammed (hi; applicaf�on andlmo:v the s�nre fo 6e true �nd <br />correcL All provisicns o/laivs and ordinances yoveming (hi; type ol �vo�k r:ill be comple(ed <br />�ahelher specilied heiein ornoL The gianfing o� a permd docs not presume !o give authority to <br />violate or cancel (he provisions oI any olher stafe oriccal law regulafing conslruction orUie <br />perlermance o( conshuc(ion. Thaf 1 am au(horized by fhe o::-ner o/fhis propeity �o perfomi the <br />:vork lor �vhich application is made and I comply wi(h (he Sla(e Conhactors Lavi 18, 27 RCW and <br />796 200 WAC. <br />s — �— <br />— i <br />I <br />�[E ' <br />�U � 6 I� , <br />L— J � <br />PERh1[T:t � � <br />E � `t �S - �'J `J i � <br />
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