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7102 LOWER RIDGE RD 2018-07-25
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7102 LOWER RIDGE RD 2018-07-25
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Last modified
7/25/2018 8:40:40 AM
Creation date
7/25/2018 8:40:25 AM
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Address Document
Street Name
LOWER RIDGE RD
Street Number
7102
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=LCC TROCAL PERMEF A WICK-1110rCITY OF EVERETT PERMIT SERVICES <br /> wr 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: \ weAr tY\ e (C2_1. <br /> BUILDING AREA(if residential,new construction, remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> ,USE OF BUILDING: <br /> .: :. .ELEC7"RMAL,APPLICAT1®N IfNF®REIYIATl109d ._ :••• <br /> :. .. ._......::....:�... .:. . � • <br /> .. <br /> CONTRACT PRICE OF WORK:$ app <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ©V.SL'C l-Q'stv1AJ • <br /> .--..,. <br /> ONTACT:Ib[F®RMATiiON.• <br /> • <br /> .:..: : <br /> OWNER NAME:\sThc c c\.\ \ c, TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: gar <br /> Crry STATE ZIP <br /> OWNER PHONE: �S �t 9 plc 1 to g.a . .. OWNER EMAIL: <br /> CONTRACTOR NAME: J\c_e \- CANn w <br /> CONTRACTOR ADDRESS: STREET j�'>\:Le "n <br /> S STATE ZIP Qkn1 <br /> CONTRACTOR PHONE: ��j '�a"� -ALA 0 1 CONTRACTOR EMAIL: NL2S}Q'3•P ViS Cep CV\ l C l� �`�(V1Ct 1 <br /> CONTRACTOR LIC.#(REQUIRED): �kc �' NOG 3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): D <br /> PRIMARY CONTACT: 0 OWNER jrCONTRACTOR 0 <br /> OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 3c 2Ja^'ll 1 LA LA-1 <br /> \`` CONTACT EMAIL: <br /> AGREEMENT.-T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 98.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE IA <br /> x,5,5 <br /> PERMIT# <br /> F n G2 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />
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