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9813 25TH DR SE 2019-08-08
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9813 25TH DR SE 2019-08-08
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Last modified
8/8/2019 10:03:59 AM
Creation date
8/8/2019 10:03:58 AM
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Address Document
Street Name
25TH DR SE
Street Number
9813
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*E77.. ELECTRICAL PERMIT APPLICATION <br /> c,-FTY c_ _v, 3,_z -PMT T C_ <br /> SE�Rfliw.� <br /> s <br /> 32_3C) DAR STREET, EVERETT,WA 9B201 <br /> 1 ,25 -83:57 (`—.._1 ;�s,,.,�_,c.lv_ 3se-fo,-? <br /> fnNl,g0l7i wt,ww."v3-arCw3g.)Vipca.-cr�lt5 <br /> PROJECT SITE INFORMATION <br /> ol�-rAaR�ss C <br /> J° AREA <br /> - - <br /> Et ECfiR1tL AiP1sICA." litN`l1' C1R4'iA IDI <br /> CONTRACT PRICE OF WORK: S _ <br /> NUMBER OF DEVICES rif low W): <br /> FIRE ALARM? 0 YES 0 NO _ g. <br /> ASSOCIATED BUILDING PERMIT#of aoolicablei <br /> 7.Ea't`131PT1ttQE 1rY0RK ._._. <br /> nmsmmggra-n. ‘,...},-) 43)--- <br /> TENANT N46t_ I€C sort r:iai): <br /> DWNER MA.ILIN3 ADDRESS: <br /> ;�yv,c= <br /> _z p� La srs= ,',. _` 2.-i% `� <br /> Oh1TRRCTOF2 PHONE t*, �t� STATE 4 - na ' # 201 <br /> — `"1 , (,,) CONrPA..TOR EMAIL • " g. ' : ' <br /> C�7I�Ti�"f�3R"Cir :�tRE:. t't�T�i �+ - .i• �� r � � CO v14 <br /> CITY OF EVERET I BUSINESS LIC.#{REQUIRED,: ,r• <br /> PRIMARY CONTACT: 0 OWNER %%CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: <br /> CONTACT PHONE: a5C1 0‘553 _ t <br /> AGRt EyI=NT.I hereby certify that I have 1 CONTACT EMAIL::ciI#4 - (,1 t R'�1 ,UDY1r) <br /> d examined this application and know the same to be true and correct. All provisions of taws and ordinances governing(his <br /> of work will be completed whether specified herein cr not, The granting of a permit does not presume to glue authority to violate orcancel The provisions of any other stale cr <br /> local law regulating ccnstrucficn or the type <br /> comply performance of 296.construction. That 1 am authorized by the cwneref this property to perform the work for which application is made and I <br /> Fla withrthe State Contractors Law 18.27 RCW and Instruct2C0 WAC. <br /> City of Everett Gffcial Use Crly <br /> 1„ (�]r ' `' <br /> PERMIT II <br /> ie" fr<alt-etl <br /> J_.._. E is i'..._... 1 <br /> �Cava;erdAu tcryde�tgert �rrafura <br /> Ca,e t _ <br /> (Revised Gin,'2G7P: <br />
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