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2531 HOYT AVE 2019-03-27
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2531 HOYT AVE 2019-03-27
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Last modified
3/27/2019 2:23:32 PM
Creation date
3/27/2019 2:23:31 PM
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Address Document
Street Name
HOYT AVE
Street Number
2531
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10/30/201? 09:41 #2815 P. 003/004 <br /> ELECTRICAL PERMIT APPLICATION <br /> ; CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)426-257-8810 I FAX 425-257-8857 1 (E)evoretteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: 0453 9 jld Yr Ave <br /> BUILDING AREA(if residential,new construction.remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX I_7 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Pi& C t h/�Pr- ?1-)/ui1 <br /> CONTRACT PRICE OF WORK:i Qp `r <br /> NUMBER OF DEVICES if low volta.e <br /> FIRE ALARM? CI YES 0 NO - <br /> ASSOCIATED BUILDING PERMIT# if a.•licahle : <br /> DESCRIPTION OF WORK: ' - ` A 1 . <br /> • <br /> OWNER NAME: <br /> L ,. 1 P aitirENANT NAMEAIf Comm.r ial): <br /> OWNER MAILING ADDRESS: sir / a ' 1 Lr i <br /> art . . ,'i) ziP V-Z 0./ <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET 3.64/ I I:. J+r . A <br /> CITY I 1 STATE ft _ , I�e / <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#REQUIRED: „ L„ SLP CITY OF EVERETT BUSINESS LIC.#(REOUIRED)1 1 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR .IaOTHER(Please Specify) U _ Q �j 4 r <br /> CONTACT NAME: CONTACT PHONE: 7J J _ <br /> (�� �f CONTACT EMAIL: <br /> AGREEMENT I hereby certify that 1 have read and examined this application end know the same to be brie anti correct. AO provisions of laws and ordinances governing this type <br /> at work will be completed whether specified herein or not The granting of a permit doss 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 em authorised by the owner of this properly to parforrn the work for which application Is made and i <br /> comply with the State Contractors Law 11127 RCW and 296.200 WAC. <br /> fe <br /> City of Everett Official Use Only <br /> PERMIT* <br /> E - Z`3 <br /> (Revised 923/2018) <br /> Own• Authorlsad Agent Signature <br />
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