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5013 DOGWOOD DR 2019-01-28
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5013 DOGWOOD DR 2019-01-28
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Last modified
1/28/2019 11:08:27 AM
Creation date
1/28/2019 11:08:26 AM
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Address Document
Street Name
DOGWOOD DR
Street Number
5013
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ELECTRICAL PERMIT APPLICATION <br /> 32'3 _DAR STREET E`v`EREi 1 . WA 93201 <br /> 3:31. ; ',:-TAX,:x.25,237-33' 7 <br /> t,,,s,fAV3.gC+F•! 4'7 Vrt4'.e4'�Tet"= ' <br /> P O4E CT,S/TE 4 mac► . `i rl <br /> ?DADDR5ti <br /> AS <br /> }, <br /> * <br /> : . .,. ‘,L, ,_ tit 7 . <br /> 'mm3 .✓t •:!= tc•c <br /> L C ICA:1:A ; N .. <br /> 'CONTRACT PRICE OF WORK: S `r <br /> 'UMBER OF DEVICES(if low vultags <br /> SIR`ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT r aJolicablII <br /> - : <br /> .. .,d, 4 <br /> .—-- ___ <br /> 'y : WO ` ; 'I li& <br /> it A ' ..{., T�YANT! <br /> D MA:LINt� - ». 4urfE IP Cairn rMl�ti}: <br /> ► G:, 2 ' ; AiL <br /> t <br /> =•C'dT` .:,�T Z ADDRF-'3.5, 1 I— <br /> �re==r <br /> TICTR PHONE:'` It„ etto �. '.,.,.`. srarE A. 7,Q 20 <br /> r CONTACTOR EMAIL: <br /> tit <br /> .��RIh1AKY CONTACT; OWNER CITY OF � tl.��I1:3 L.[C �lOt}}. �... <br /> 0 s ^ <br /> CONTRACTOR 0 OTHER(Please SpeciPy)_ <br /> CONTACT NAME: <br /> COIITACT PHONE: 5 010ci 0 <br /> � <br /> 1 4� # ie CONTACT.EMAIL:. A 4 <br /> AGRE }ENT.l herebycertify 1 .`.` <br /> rtify that.l have read and examined this application and know the same to be true and carred All prauterans of laws and ordinances <br /> `work will be completed whether specified herein or not. The granting of a permit does nctprasume to <br /> local law regulating construction Cr the performance of construction. That/am authorized Cy the owner of this property to perform the work for which application ismagoverning this type <br /> comply give authority to violate or cancel the previsions of any other stale or <br /> F y with the State Contractors Law 18.27 RCW and 256.2GG WAC, <br /> FFmade and I <br /> City cd Everett Cficial tine Crit' <br /> PERMIT# <br /> ___. . <br /> _ _ <br /> C'awr, rr�s :or'txass Agent S.anaf��re '..-- �.. <br /> E ( ( - 1p( <br />
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