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4301 HOYT AVE WESTERN WASHINGTON MEDICAL GROUP 2018-01-02 MF Import
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WESTERN WASHINGTON MEDICAL GROUP
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4301 HOYT AVE WESTERN WASHINGTON MEDICAL GROUP 2018-01-02 MF Import
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Last modified
4/3/2023 2:31:15 PM
Creation date
4/3/2023 1:57:48 PM
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Address Document
Street Name
HOYT AVE
Street Number
4301
Tenant Name
WESTERN WASHINGTON MEDICAL GROUP
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May 02 07 11:07a <br />SITE ADDRESS <br />LEGA LOT N� <br />DESC. <br />OWNEFi � ` � <br />l.L��GL�� <br />c <br />TENANTNAME <br />Brian � Lisa Setzer <br />t <br />--� - — <br />360-568-6380 <br />PE�iIVEiT APP�ICATION <br />CITY C1F EVERElT P��MIT SERVICES <br />3200 CEDAR STREET, EVFRETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetiwa.ory <br />APPLICATIONS aRE ACCEPTED FF?OM 8 AM TO 4 PM <br />BLOCK <br />CONTRACTOR �CT�-�� \'IltiN�btiY..]G <br /></ <br />CONTR. LICENSE # <br />USE OF BIJILDING <br />PAR�GEL TAX I.D. # <br />G,,�x� �!.. o�-� ao�� l <br />TflACT OR SVB�IV�SION N <br />CON?ACT FOR PERMR <br />� <br />� 1 �0.J�. ����Z2✓ <br />AOORESS <br />� 1] �lUcfiSV�llC,ll. � <br />HEATSOURCE <br />_ �lectric _ Gas _ Othe� <br />p.l <br />5 _o -z_o;? <br />,Qp7D�—Oo�{ <br />/ <br />PERMIT � <br />7d_ - <br />PHONE <br />PHONE <br />-�3�-1Sfb <br />CITY/ZIP PHONE <br />WORK C1ESCflIPTION <br />�7�«Y`/LfJ�rC� Fi/f ,7N.�.C�Siv�-`�+� �� �X��,�.�.'L �Uc�v��.5 <br />�r <br />NO. I 7': PE OF FU(7URE OR ITEM <br />Tpi'cl <br />Bathtub <br />Lava:ory lwasY t�asin) <br />Sho,ver <br />Kitchen ;ink & dispusal <br />Dishwasher <br />Cbthes wash ,r <br />Watcr heatcr <br />Sink (service/bar/mcp/elc.) <br />Sackllow preventer <br />Urinal <br />D�inking Foun�ain <br />Floor drain <br />Greasc trap <br />Roof drains <br />Other _ <br />PRICE a7F <br />^ .3LG'O 0 � �D�� Ct�� <br />Tey-.c�. -� �- <br />=,�w,? rGc> (;y�.�l-1'�� <br />NO. ! TVPE OF FI%TUflE OR ITE67 <br />A/C — air handling units <br />Forr.ad air systems <br />Gas pipinp <br />Watcn c�a�er <br />Gas tircolacc <br />Gas range <br />_ Clothes dryer <br />Range hood <br />Exhauslfan <br />_ Heat pump <br />Unit heater <br />Boilcr <br />Relrigcration <br />Wuodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS .'�105 <br />I hereby ceritily that I have read and examined this application and ki,,,w �hn_ samc to be true and corcect. nll provisions ot laws and <br />ordinaces governing this type of ��ork will be compti�d with whether specified herein or not. The yranlinc� o` a permit Ooes not presume <br />to give authority to violate or cancel the provision of any other sta�e or Ic,cal 13w regulatino consiruction or the peAormanr2 ot <br />cunstruction. Thal I am au�horized 6y �he owner ol Ihis property to perform ihe work for which �pplication is made anti I comply with the <br />Statr. Contr�rs Law 7827 R�W and 29G200 WAC. <br />--�"'_ ---_.---. _.. . / <br />�1 � .Q , �.J �rs� 7s�-�- rsc0 <br />CcV..� Uf : q��( .iO v C�� -1-i <br />
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