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11106 20TH DR SE 2019-06-12
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11106 20TH DR SE 2019-06-12
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Last modified
6/12/2019 7:18:51 AM
Creation date
6/12/2019 7:18:50 AM
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Address Document
Street Name
20TH DR SE
Street Number
11106
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mor;...._,. .. - . <br /> ELECTRICAL PER r PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 ] (F)everefttps(c everetiwa.gov I www_everettwa.gov/perrnits <br /> ::,. .E) (1E07:44E Blair )fiTV>>AT1Qi!I`.'.. <br /> PROJECT ADDRESS: ( C b 4 -2.0 1-- p C. <br /> BUILDING AREA(if residential,new construction,'remodel,or addition) - SE — <br /> BUILDING TYPE: CI SFR DETACHED 'SFR-AVFACHED Il DUPLEX In MULTI-FAMILY-#OF UNITS: El COMMERCIAL <br /> USE OF BUILDING: '' '1 <br /> `. . •EL0.0011yLi1#.ApOC1eWil0ia ISFiDRLOt[,A;'i'ita[il1 <br /> CONTRACT PRICE OF WORK:$ 411- j ,1.0 <br /> NUMBER OF DEVICES(If low voltage): . <br /> FIRE ALARM? C1`lES . <br /> ASSOCIATED BUILDING PERMIT# iTapplicable): _ <br /> DESCRIPTION OF WORK; N *• �-1 ,-, i v.. Esc Ale �0 . ILy� .• ''..."7 <br /> est- - <br /> t•• <br /> �- <br /> • <br /> �.�. <br /> ice. <br /> :•.::,:.:':r...1•,. CONTACTS INFORMATION • • . <br /> OWNER NAME: 1—,.. . . 7-1_1::$ TENANT NAME(IT Cornmerelal): --- . <br /> owNER IVLAILING ADDRESS: sm r- t( i 06' e9--a` IE1io 142 ye ..ee— <br /> CrrY .E. . _ _ STATE: •z?— • .75��D <br /> OMER PHONE: 4'9",c. s LI S— 3 l0"...3 OWNER EMAIL: ` - <br /> ..�r.r ETOL. .,... ...rLr_��- _..re+•-, <br /> CONTRACTOR NAME: . • 'd 7' 01..- --1"12-t,Z <br /> CONTRACTOR ADDRESS: STREET of, 1 ., ivc, . - <br /> ofrY 4LIL„ STATE ,L00—,A, 21......._2_5_104._ <br /> CONTRACTOR PHONE: 4 S- def.- Sit-e.IcONTRACTOREMAIL fIrl (I Qclt nems — <br /> CONTRACTOR LIC.#(REQUIRED): '.:6P Z,,pf V :47CITY OP EVERETT BUSINESS LIG.#(REQUIRE"D): • <br /> _ ...n - •. -�.'.Lua.w........wrr-,4T�.a. �r-r_-__. s....7! "... II n.,3r w..w.«..... <br /> PRIMARY CONTACT: E OWNER K. ..s NTRACTOR 0 OTHER(Please Specify) . <br /> CONTACT.NAME: ;-�/A I Q L ? \ CONTACT PHONE: -r.�-Zs a $� " �� ie „ <br /> ��"Cr""-,�"�1`'' CONTACT EMAIL: G, :. <br /> ier <br /> AGREEmarn T hereby cerflfythet 1 have read and examined this eppticatlon and know the same to tre bale and correct.All envisions°flews and ordinances governing this <br /> type of work wail be completed whether specified herein or not. The granting ofa permit does not presume to give authon*y to violate or cancel the provisions of any other state or <br /> renal lawregulating construellan orthe performance ofconstructlon. That/am authorized by the owner of this property to parform the work for which application Is made end I <br /> comply with the.tsfe•Contractors Law 10.27 RCW and 29 .200 wAa <br /> cPty of Everett O1i7cial Use Only <br /> • , ---1 FEE 4 ,r <br /> i� <br /> _...... _., <br /> . <br /> ..._..._. ____ <br /> PERMIT 629)S'--id- P E t 05 <br /> ownerJAuttiorized Agen signature Date (/devised 10/1212015) <br />
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