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1506 PINE ST 2017-06-28
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1506 PINE ST 2017-06-28
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Last modified
6/28/2017 3:01:25 PM
Creation date
6/28/2017 3:01:20 PM
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Address Document
Street Name
PINE ST
Street Number
1506
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���`��9��� ���.�6� �-,G !0���'d�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> _. <br /> , PROJECT S17'E II�FORIN�A`�'1�1�' ; <br /> _ . . .. _ _ . <br /> PROJECT ADDRESS: �O �j �" �, S • CiV c-:li- , GV� ' , �/(�� <br /> BUILDING AREA{if residenfial, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: �.�,S ��� ��y(J <br /> _ <br /> ELECTRICA,L, APPLOGA�"SON IIdFORMAI'ION <br /> CONTRACT PRICE OF WORK: $ �,� <br /> NUMBER OF DEVICES (if low voltage): <br /> F1RE ALARM? ❑YES �NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: f-�'�D tJ/�/�� �� ��! �� T''� - �-K�/�%JT'��'L�J' <br /> , CONTACT INFORMATION _ - <br /> OWNER NAME: / I � Y T- TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReEr S�'Ti�i� �� ��= <br /> CIiY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> _ . _.. . . _. ... ... , . _. `/. .. . . . . <br /> . _ . __. . .. ... ... .. <br /> CONTRACTOR NAME: ��� Z� � I iC /�� �- G C <br /> CONTRACTOR ADDRESS: sTReEr S� ,J��r �L� {�� <br /> CITY L� ,�� � � ��� STATE I"'�/� ZIP / U�JC � <br /> CONTRACTOR PHONE: �oZ-�����c.J� ``�j CONTRACTOR EMAIL: ���'jC;j�I�J7'� Gn.( !-�?l�1v��, � ./L� <br /> CONTRACTOR LIC.#(REQUIRED): C l �L� p ���j CITY OF EVERETT BUSINESS LIC.#(REQUIRED)• <br /> PRIMARY CONTACT: ❑OWNER �'CONTRACTOR ❑OTHER(Please 5pecify) <br /> CONTACT NAME: CONTACT PHONE: � <br /> _ �/�'j''� L ��j�-� CONTACT EMAIL: <br /> AGfZEEMEIVT.�T hereby certify thaf l have read and examined this application and know the same to be true and correcf All provisions oflaws and ordinances governing this <br /> fype of work will be completed whether specified herein or nof. The granfing of a permit does not presume to give authority to violate or cancel fhe provisions of any other state or <br /> locallaw regulating construction or the performance of construction. That!am autho�ized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the Stafe Contracfors Law 1827 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> � �� �� � <br /> 4� � � <br /> ; <br /> PERMIT# <br /> e <br /> ' ' ' 3- �� -/� � '���-->— ��—JC <br /> OwnedAufhoriz d qe t " natu Date (Revised 90/92/2095) <br />
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