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3003 W CASINO RD BLDG 40-24 2019-01-25
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3003 W CASINO RD BLDG 40-24 2019-01-25
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Last modified
1/25/2019 9:23:05 AM
Creation date
1/25/2019 9:21:32 AM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 40-24
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Jo2'1 .27095Ky. 3c� a. 5 <br /> ELECTRICAL PE t` i T ,�i�Pl� CATilZ5S N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 j FAX 425-257-8857 j (E)everetteps@everettwa.gav www.everettwa.gov/permits <br /> tq,.{•..ors 11. -iti�'•.::i� •l�s:iii.:Iv. _ .....�„w.u,a�i•...... •L: -•f;'�:•;x: <br /> 4:e...r.alti.^:`...:'ti.r..1..,.,.>✓. .. . .,... ...::C••:x.4,:r ... .:+Sp::11'7U•Q��' •at.'•.: .V.wa•.,.n. ::xua,: . {v .. ..... •.. ..r.a... -. :,:'ifi�., <br /> PROJECT ADDRESS: ' a '& L &./.1:441/2;40" r„..06 (//f t.7":'Z, <br /> BUILDING AREA(if residential,new construction,remodel,orraddition) SF • <br /> BUILDING TYPE: El SFR-DETACHED D SFR••ATffAC-HEAD-0 DUPLEX El MULTI-FAMILY-#OF UNITS: IA COMMERCIAL <br /> USE OF BUILDING; G OE 1 G EVE1L� t <br /> •,••••••••:••.•tii.+;•:i:...-._ ,...c............. .:a.:; ekeLSr tr:,-.'.P:v.sei:_�sr:.a_....,..r..��+�����:;r. _..: .w...,•.,-ns�:.•� ..n..$1•.1 . _...... 4 se i:.r'.�,�.:se <br /> CONTRACT PRICE OF WORK:$ ��f f 000 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 9 � d021- .41' -' <br /> • <br /> . i <br /> • i <br /> • <br /> • <br /> t:\:_r. - ' . . • . - .. , .:�:: 'YGO�T.ACT`1N�[1R1f?MAT�t'3N::., . • \• - •• r_ . ..--.- •r <br /> OWNER NAME: TENANT NAME(if Commercial): BCE/A..)6 <br /> • <br /> OWNER MAILING ADDRESS: STREET paa�gem <br /> 3707 t )tf/y� �/�/)7/{1�fLf/ /1 ///7 <br /> CraY ,5L.+!l! 1 L E STATE I+yi t ZI� /C/IG! w'^2'"! <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 69/U5 Gie..771 I0 <br /> CONTRACTOR ADDRESS: STREET Pa f3Dx 4/e <br /> cny /nag it-TED srn'rEV V* /} +1 nP 9n 2[,/4 <br /> • <br /> CONTRACTOR PHONE:426-2/9 <br /> 4y44 CONTRACTOR EMAIL: k/r'/Ci. thvi),mErgi 1G i WI r doin <br /> CONTRACTOR LIC.#(REQUIRED N/eCG� i O Z CITY OF EVERETT BUSINESS LIC,#(REQUIRED):ozio C <br /> PRIMARY CONTACT: D OWNER El CONTRACTOR ❑OTHER(Please Specify) - <br /> CONTACT NAME: p CONTACT PHONE: 206-7s b-e 5/4-1,0 � <br /> ��14I4 1 S 6R-D(Af CONTACT EMAIL: DENAI IS,(l.Ow a kik.w/i r. do/Y) <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 hereln or not, The granting of a permit does not presume to give authorilyto violate or cancel the provls&>ns of any other state or' <br /> local law regulating construction or the performance of construction, That!em authorized by the owner of this property to perform the work for which application Is made and 1 <br /> comply with the State Contractors Law 18.27 RCW end 296.200 WAG <br /> City of Everett Official Use Only <br /> FEE I, 5-7//�� <br /> PERMIT# <br /> eE (6o2-OH <br /> Owner Au or zed Agen Signature Date (Revised 19/12/2015) <br />
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