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1710 BAILEY AVE 2019-01-17
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1710 BAILEY AVE 2019-01-17
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Last modified
1/17/2019 12:00:22 PM
Creation date
1/17/2019 12:00:18 PM
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Address Document
Street Name
BAILEY AVE
Street Number
1710
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LEG RQG I L PERMIT A010 LIGATION <br /> 1 �'" 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 /> ... P''JEdllSIT-V:1_Ft"E� `f'[IJQit .` <br /> PROJECT ADDRESS: / 7/o Lai("y Ave C;/- 11G ir <br /> BUILDING AREA(if residential,new construction,remodel,or addition) ./8'-7(2 SF - <br /> 'BUILDING TYPE: 0 SFR-DETACHED R SFR-ATTACHED1 >0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> ±USE OF BUILDING: i Gt„die e / <br /> ELECTR1CA1:.AFPUCA 4ON NFOR WAT1IO <br /> CONTRACT PRICE OF WORK:$ _3000- cc) <br /> NUMBER OF DEVICES(if low voltage):, <br /> FIRE ALARM? 0 YES 121 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): . <br /> DESCRIPTION OF WORK: JCS c i"c u r 7' 67....A.-6/S f,y 4,F/ <br /> !^P w //'e �j p Uvt e �h c t s 74177 C-/i''c a//h <br /> _ :" C ftiACi°;kOtit MA77AN. .. <br /> OWNER NAME: /kl2c/c c/ /°-- /e TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> any STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: //b r c o .. r c 7 % 'l•G. _. <br /> CONTRACTOR ADDRESS: STREET75 /Y2 '49' 2/ - 'ez - <br /> cITY ._.d oH,dJ STATE .01 • ZIP Pk-e& <br /> CONTRACTOR PHONE: X06. 7/y 7V r CONTRACTOR EMAIL: Ca r c /jam �i C'l2 C's?' We /- <br /> CONTRACTOR LIC.#(REQUIRED) <br /> oR 7"CO x'7NT7-33 & CITY OF EVERETT BUSINESS Lie.#(REQUIRED): o`2 !`"6 <br /> ( <br /> PRIMARY CONTACT: 0 OWNER 1 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: /a/ ° <br /> CONTACT PHONE: a d67/ f7 Bs <br /> v ( C CONTACT EMAIL: Cao- _ &C -- G00t4""aS . /�'e <br /> AGREEMENT:T hereby certify that I hav4 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 wil/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 l am authorized by the owner of this properly 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 0„.....---D <br /> - (al) - <br /> .air / PERMIT# <br /> , , 3 /g E w C$03- COaN <br /> Owner/Authorized Age ignt�r Date (Revised 90/12/2095) <br /> // <br />
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