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2033 122ND PL SE 2016-01-01 MF Import
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2033 122ND PL SE 2016-01-01 MF Import
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Last modified
4/17/2017 7:48:15 AM
Creation date
4/14/2017 10:44:20 PM
Metadata
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Template:
Address Document
Street Name
122ND PL SE
Street Number
2033
Imported From Microfiche
Yes
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k�3-21-'C�3 19:21 FROM- <br />T-872 P003f009 F-938 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 • FAX425-257•8857—v✓ww.everenwa.orA <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Q�a-I� O� <br />?_033 122ND PL SE <br />PROJCCT A�DRESS <br />TOM RIVARD <br />Owncr <br />Tanant <br />2033 122ND PL SE Everett <br />Mail Address Clly <br />Mail Adtlrest <br />Ci!y <br />WA 98208 <br />&t�ls2lp <br />Slaleli�p <br />425�231-241 �J <br />Phone <br />Pnona <br />WE5C0 2800 Thorndyke S[ATTLE WA 98199 8D0-398-4q83 <br />Llec�ncril Coniraclo� fdau nddress c.iy Siale2q� PhOnB <br />WASHIES9710D Exp.09/02/09 <br />Slate �icense Number <br />SFR <br />Proposed Use ol Building <br />750.00 <br />Con(rscl Price of Work <br />Conlect Person (Plan Reviev� <br />Descnpliono�WorkloDeDone �dding 1 elecirical circuit fora 2.5 heat pump <br />NOT[ WIRING IN NON-DWELIINGS IS REQi11R[D TO FEE <br />[3E IN RACEWAYS, MC OR 11C CARLF. <br />CITY OF EVERETT LOCAL 9ALES TN( CODE IS ]105 <br />I horohy cert�ry fbat I have read and errm�ned IA�e applicafion and know Ihs seme fo bc hue and �N;oo . 1 �� <br />cbrrect All prov�sions o� laws and o�C �ances govem�ng fh�s rype ol werk �rtll De. completetl 1 DC � <br />whet��e� specdir.0 henrvi or nof Tlio yranUnp ot a permd does not p�esume m yrve authoury to 'lJ O <br />v�olafe a cancel tho �,�ov�s�ons ol ar. y nther siafe o� local l�w repulaGrrp consfru�hon or (ho <br />peAorm�nCe o! Conslruc6on 7hat 1 am nuthonzod by fho ownr.r ol flue propeity to pedomi the <br />29G 2 0 lW4AC ��n�rcnlion is made ond 1 comply wifh tBe Sfafe Confraclois Lnw 1817 RCW ana <br />�/Vl������-, ��?. � � U� <br />S�Oniluf0 �Ble <br />
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