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3003 W CASINO RD BLDG 40-53 2019-01-25
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3003 W CASINO RD BLDG 40-53 2019-01-25
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Last modified
1/25/2019 10:59:31 AM
Creation date
1/25/2019 10:59:28 AM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 40-53
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241'is- s`O2.b 3& C.390.) . <br /> ELECTRICAL PERMIT 4,,PPLICATION <br /> - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 • <br /> (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gav I vuww.everettwa.gavlpermits <br /> .. ... ... .. .i .. l%'V-04.'I01a.,S.x,fN.taYt. .:.ivy . ...Sat.•_[.. Z .._ v......... .. ...!;.:.'..!?2.1!..1::....;;;:,;::11.::K <br /> PROJECT ADDRESS: Lib-5?) ...i IOU 0 0(Crt,141 ti 61/b <br /> BUILDING AREA(If residential,new construction,remodel,or additio ) SF ' <br /> BUILDING TYPE: El SFR-DETACHED EI SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY OF UNITS: NI COMMERCIAL <br /> USE OF BUILDING: jOEI G Eii ' �7T' <br /> ; y,.,.:. tr,.;p {._..s .. .t .:•.:f. .r;.::rf0 GTay:4LA � 9 � � NaO. sRaI1itgins,: _. giM1l,-;4zK~t•:.viR 3} i. <br /> :vr s <br /> : <br /> CONTRACT PRICE OF WORK:$ al1 ✓ <br /> NUMBER OF DEVICES(if low voltage):• <br /> FIRE ALARM? El YES litl NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESC IPTION OF WORK: y) °'Tc1 I Ii .G` i- y 6..,A' .... t . , <br /> • Y.,)1'4 COLC)-6, • _ <br /> 1 <br /> . f:',7.;1.,?:...-'1, .... .. ,'. .• •.. ,00:04:0".... .07yM,QxTXO . • -..--,::::;::q:',7::::- <br /> .. . - . _.- •.• i'z <br /> OWNER NAME: TENANT NAME(If Commercial.): Bfili/j. <br /> OWNER MAILING ADDRESS: siearb &2X 37,07 �A -�j `� <br /> CITY s�c�1ZE- STATE SVA- Z1Pq /2q 220/ <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: •]f e_13U,5 ,U8.1 J1 A) <br /> CONTRACTOR ADDRESS: STREET <br /> Po Box 41,9 <br /> err( i7)14 /Z-7 ,42 surrai4/4-1 zip 1g2o4 <br /> CONTRACTOR PHONE:4255-214-6944 CONTRACTOR EMAIL: k4 1. H}tfnfflEE, NkE{I/r, & <br /> CONTRACTOR LIC.#(REQUIRED): 6EA/ ge.,(�, 14D,z CITY OF EVERETT BUSINESS LIC.CREQUIRED):046 <br /> PRIMARY CONTACT: DOWNER $I CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2t'/ -'73�1O•-�'54.4 • <br /> DAN 1415 6,e0(4/ CONTACT EMAIL: DEN411 ,,C�./.4'jW+ `�A a ki I T. 60/4 <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 properly to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 1a27 RCWand 2616.20d WAG. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> , 1 / --S7. /g. E (% 08-0 SR- <br /> Owner/ u or zed As en Signature Date (Revised 10/12/2015) <br /> . <br />
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