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3003 W CASINO RD BLDG 40-25 2020-01-21
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3003 W CASINO RD BLDG 40-25 2020-01-21
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Last modified
1/21/2020 8:57:56 AM
Creation date
6/19/2019 1:56:33 PM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 40-25
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ELECTRICAL PES'; IT APPLICATION <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.gov I www.everettwa.govlpermits <br /> _ �-f•..•.a•. :I, :;t:' v:WSJ:•,tin...�.i :r ®�- ��7 ".x,..wV.,.a^�.c....:' 't, _ •,' ..7:".., -: .:,:y-; <br /> J r.o..,.�.�:. .. .. ,... r ....::u• ... ..,t.._eNl,.a--.:.:�^!..r:..:n•...::.t,.v.�::...•.:.ei���....,.lsx,::�`. .. - .. .+.. . a ... <br /> PROJECT ADDRESS: 1--/n 1 au i\c -\ OD(L 0/ <br /> `.�.. .�....... .. ... . <br /> BUILDING AREA(if residential,new construction,remodel,or addi ion) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ,❑DUPLEX LI MULTI-FAMILY-#OF UNITS: NJ COMMERCIAL <br /> USE OF BUILDING: DGI�G EVk1�� t t <br /> ,.,.a,.::s�.�=+v'.:...,,•.. .. .... ......... :_a�:•:�fi-�,m�C�'�':t?�i"�<5++.5•kae.•...a$,�t$.T•v�.68��'aa.:r�.N��•'�RINiQ�T��IY,,�•...`.,..:iV.tit.e :�i%.-:a:.,rft.,laP.:...,ra:s"lri•.t�::.t tY,etl•': <br /> CONTRACT PRICE OF WORK:$ 'i ) 0 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ID YES 74 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): i <br /> DESCRIPTION OF WORK: Y1 C'l t 1 P.ck t L" ' <br /> _v ori r • <br /> •• <br /> • <br /> OWNER NAME: TENANT NAME(If Commercial): /,10 <br /> OWNER MAILING ADDRESS: s Isar R7 sox 3707 <br /> Cry e5EA I LE' STATE A- up-/(J/2Y"4267 <br /> OWNER PHONE: OWNER EMAIL: <br /> .0 a tV 1 • •L !. K —.t_M•� y .r.r ! . . M . !♦ r. la.,I r • . ...Aa• 1r . e .i ,.I .. ! .... e !, , v ++! YM r, ... r+I , <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: sraaer Pa $ox 41 <br /> ony ) 1L7 Ca STATE A- zip/g2e)7' <br /> CONTRACTOR PHONE:426-294-6144 CONTRACTOR EMAIL: k/112.l, Hit/nME 0)ki/ W/r1619”1 <br /> CONTRACTOR UC.#(REQUIRED): agll<I8ge.. z CITY OF EVERETT FILMINESS LEG.#(REQUIRED):0405 <br /> • <br /> PRIMARY CONTACT: El OWNER F,)CONTRACTOR ❑OTHER(Please Specify) ~u H <br /> CONTACT NAME: CONTACT PHONE: 2( -65440 <br /> DgNNi5 6400/ CONTACTEMVIAIL: DEINIS.0 01.4.14 1:f rWI7'. L�oiY} <br /> AGREEMENT:T hereby ceiiip that!have read and examined this application and knowthe same to be true and correct Al!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 slate or <br /> local law regulating construction or the performance of construction, That!am authorized by the owner of this property to perform the work for which application is made and <br /> comply with the State Contractors Law 18.27RCW and 296.20d WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> • s <br /> PERMIT# _ O5 <br /> E t ZSog <br /> 5 <br /> a-5- /5 <br /> Owner/Au or zed Agen Signature Date (Revised 1011212015) <br />
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