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4820 GLENHAVEN DR 2018-09-11
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4820 GLENHAVEN DR 2018-09-11
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Last modified
9/11/2018 8:42:11 AM
Creation date
9/11/2018 8:42:11 AM
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Address Document
Street Name
GLENHAVEN DR
Street Number
4820
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12/14/2017 10:09 #3022 P. 001/002 <br /> /MP. <br /> !LCTR1lCAL PERMIT ,/,PPU C A.,TION <br /> • CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everettwa.gov i www.everettwa.govlpermits <br /> lit• It�O•T..SJT NFQR ATI`o.11�:. . <br /> PROJECT ADDRESS: Y1 �C. _M `f$1W rt'C✓ <br /> BUILDING AREA(If residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: I:I SFR-DETACHED El SFR-ATTACHED ❑DUPLEX Q MULTI-FAMILY-4 OF UNITS: Ci COMMERCIAL <br /> . USE OF BUlLPING:�� <br /> - • <br /> • • ...:,• '$'.. QC4Q�I.:•ARIE?1:AGl�I�'1�D(<d1�lFt�IZIV�A'I�"!<Ea� <br /> CONTRACT PRICE OF WORK:$ S 00 <br /> NUMBER OF DEVICES(if law Voltage):• T <br /> F1RE ALARM? Q YES Q NO • <br /> ASSOCIATED BUILDING PERMIT#(if applicable): • <br /> DESCRIPTION OF WORK: n,Q (7 ..LI C (r/1jjL/6 44- <br /> ,OWNER NAME: t',4/Z.LA (J -/ L - ,�/TENAANT NAME(If Commercial) <br /> OWNER IVMA1L1NG ADDRESS: STREET ,),QL € L§rU/1 ,'.(/ga{. AT, _ ____• <br /> A • / _ STATE 24P /tiv <br /> OWNER PHONE: 2 OWNER EMAIL: <br /> CONTRACTOR NAME: 0?-14AJ da, 1P/ •Ls..c rflt[ff CONTRACTOR ADDRESS: srseEr / I i. <br /> Q' //� / i rI <br /> C17( 47¢� / STATE v I 21P , &Q / <br /> CONTRACTOR PHONE: I , p 02-i4( CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): S vadwu��y/2.,- CITY OF EVERETT BUSINESS LIC.#(R MIRED ��41t <br /> k ..� �..J <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Al/7-- I'U 0 <br /> CONTACT NAME: CONTACT PHONE: WS aZ3/ 22'jam._ <br /> • old /(/ <br /> rev CONTACT EMAIL: <br /> AGREEMENT:Thereby certify that I have read and examined this application and know the Same to be true and correct Al-I provisions ofJaws 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 le violate or cancel We provisions of any other state or <br /> local law regulating construction or the performance of construction. That J am authorized by the owner of this properly to perform the work for which application is made and J <br /> comply with the State Contractors Law 18.27 RCW and 298.200 WAG, <br /> • City of Everett Official use Only <br /> FEE <br /> • ��' oa <br /> • <br /> PERMIT# • <br /> , . /217- . 2 • o� _ <br /> Owner! u orized Agent Signatura ate (Revised 10/12/2015) <br />
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