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3025 LOMBARD AVE 2017-08-02
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3025 LOMBARD AVE 2017-08-02
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Last modified
8/2/2017 8:22:35 AM
Creation date
8/2/2017 8:22:18 AM
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Address Document
Street Name
LOMBARD AVE
Street Number
3025
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F-'::�, 22. 2�) 1 (1 4, 26F'M �iRE F'ROTECTiOf� INC No, ���i =, 2/� <br /> �S ��I��E� � � <br /> �LECTRICAL PERMiT APPLIC�ITlON <br /> CITY OF EV�RETT P�RMIT SERVIC�S <br /> 3200 CEDAR STREEf, EVERETT,WA 98201 <br /> �425-257-8810 - FAX�2�-257-8857—www.averetiwa,org <br /> APPUCATIONS AR�ACCEPTED FROM 9 AM Tp 4 pM -DEB1T&CR�dtT CARD$ARE NOT ACCEP7�D <br /> _�� 25 ����e� +�,v� <br /> PROJECT ADDR�83 . ' �"' <br /> 10 T �C'.A,� 3��S t�1��J� ��1� / � t� <br /> ownef Me�l t�1/� �i/,!� ��� I `�Z-S'2-��� �� <br /> Addrose Clt�+ SffitolZip Phan• <br /> renerwrt i v r � 3��.-5 �,v wt 1n�� �� ��—�'� f� ��S?-� �-C 2.5�Z9 0-�9 b� <br /> M�11 AdQras Cf�+ 3trtel7Jp Phone <br /> � ���o�-c�C.1'S�� ��c (73� G"JoSov� ��ZrQ ��err.�f� !�/✓9 `1'�2```l �Z5�`L.�o��6 :, ' <br /> E1eCi�iCal CorrtrnCtOf Mell Addnse <br /> �� ��p Phon� <br /> �� �� ��Z ��J� I?�'��� <br /> S�tate LJcense Number � Coniraot Pr1ce of Wark <br /> ' �' ��. c� � /�,� ��.. �, <br /> Proposed Uae oi,Bulidinp �i—""' ��a pe�on (Plan evlev,ry � <br /> Descrfptlon of Work ta 8e Done: AII�Y l'Ca�'o�et,�, G�,L��,� ��� ��, <br /> � (°U"^.t- s S7tC <br /> NOT�: WlRING EN NQN-DWELLINGS IS REQU(R�D TO �F <br /> �E 1N RAC�WAYS, MC OR AC CABLE, <br /> ,,/� �c� <br /> Cl7Y OF EVERETT LOCAL g,4LEg TAX COD�IS 310� ' <br /> �he�bY oarHfYehetl hsve mad end axemined this ap lcadon and know tAe same to b4 bve and � <br /> oorrac�: A!I pro vl�lons of/aws end arcllnanqes�ove�r�t�ls�pe of y�,o,k w111 be�mp/eted <br /> wRett,flr spocllfdd hero/n or not The prar�Ln,q ora petmn dp� not rpsume!a Qivo euthor�to <br /> vlo%te ar cance/fhe provls�ons ot eny o�ier st$M or�ocal lew re u�tl�,�o�ny��on�� <br /> per,txmance of cansbvcyan. 7hat!am eu�lo�isd ay the owne�of th/spropar�`y to per/p�tn the <br /> woifc far 4vh1 epppc�fion Is made nd I comply wlth�re Sfate Carrtraotors(.aw r8.27 RCW and <br /> 2D0.2b0 W C, ' � � /; , <br /> . �� � � 7 <br /> � Z? / g � <br /> ,��� i Qa.,r. <br /> D e <br /> I <br /> � <br /> i <br />
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