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4613 BAKER DR 2019-06-10
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4613 BAKER DR 2019-06-10
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6/10/2019 2:15:41 PM
Creation date
6/10/2019 2:15:36 PM
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Address Document
Street Name
BAKER DR
Street Number
4613
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071677 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> . ... % , 0,300*'1*lNFORMATI'OIA'.-, - :; - U ::r' <br /> PROJECT ADDRESS: 410 1,(si BNe,. .•-_ MVP- <br /> BUILDING <br /> VPBUILDING AREA Of residential,new construction,remodel,or addition) I 400 SF <br /> BUILDING TYPE: M.SFR-DETACHED l7]SFR-ATTACHED 0 DU_PLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: S 1 Ji G Lt_ k tm '(--\(' Q KC <br /> ;,i;:.: <br /> .. . ::.:...:..... .. :...,......•-�. :�I.EC'It:Ri.CA�"AP. .�;I�ATIO.N.>iNFO�RMATiON'��`��; <br /> CONTRACT PRICE OF'WORK:$ k OC)s 00 <br /> NUMBER OF DEVICES(if low voltage): 5 <br /> FIRE ALARM? 0 YES $NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): ) <br /> DESCRIPTION OF WORK: R .1 C' � A /V 1 ►�S ' C . evt , <br /> 1,C)C.P T t 0 S _ <br /> , • ' ".;CAI+XTdCT•.'INF.ORlY1AT1ON;.' <br /> OWNER NAME: L1 SP\ G ZEE COG TENANT NAME If Commercial): <br /> OWNER MAILING ADDRESS: STREET 14t 3 1•' kC, - bR`%l e <br /> CITY ER k Tv'ic, <br /> STATE WA. ZIP 982%03 <br /> 3 <br /> OWNER PHONE: OWNER EMAIL.: <br /> CONTRACTOR NAME: REL � t b G T V E 1 N <br /> CONTRACTOR ADDRESS: STREET 22_,//(2 6, Q,u r`t Ge c A\ ..- II�oK`Ct • <br /> clrY SLAITL- STATE \r V A ZIP TY(v <br /> CONTRACTOR PHONE: 1,0G— 2533` 12.31 CONTRACTORnEMAIL: 1>+r Y2'h e reed/L�r��� 1 h , C o <br /> CONTRACTOR LIC.#(REQUIRED): iscco1�4� E. 1,Co t P--.4- CITY OF EVERETT BUSINESS LIC.#(REQUIRED):6 ci <br /> PRIMARY CONTACT: 0 OWNER :,' CONTRACTOR 0 OTHER(Please Specify) ' <br /> CONTACT NAME: ' CONTACT PHONE: 0 — 9_2,3 '-' t n� <br /> $WANI S. \N 1 LS0 CONTACT EMAIL: V aV1 ��� �i VW+ •�✓ i�L .C,6IVL <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to ha trio end correct. All provisions of la s 'Id ordinances goverei this type <br /> 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 lam authorized by the owner of this property to perform the work for which application is made end 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 1 ,//� ,cam , 8n- 7- 20/g• E t6;(6-003wne Authorized Agent Signature Date (Revised 9/23/2016) <br />
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