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1510 SE EVERETT MALL WAY PERFECT SMILES 2016-01-01 MF Import
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1510 SE EVERETT MALL WAY PERFECT SMILES 2016-01-01 MF Import
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Last modified
4/12/2017 9:09:34 AM
Creation date
2/10/2017 1:52:22 AM
Metadata
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Template:
Address Document
Street Name
SE EVERETT MALL WAY
Street Number
1510
Tenant Name
PERFECT SMILES
Imported From Microfiche
Yes
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� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMR SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.evereriwa.org � v'� <br />APP4CATION3 ARE ACCEPTED FROM 8 MA TO 4 PM �l% � <br />farnewconsWclion: ShorlPieUsuDtlrvision_ <br />! T[-� cx�ri.��C ', <br />! � �.v s6 F ��df.. J'l�. <br />ACTOR ��VL�uccLl ���wS L� <br />c�rg r�t� sr. SE $3�4 <br />i BUSINESS NAME /� <br />'�Crc� UG�1.'r�cJ iku%i�l''n'' <br />D/NG PERM/T APPLICAT/ON <br />•,�. <br />PRICE <br />attach wPY of b^9 b9� <br />_a�i-6� Z9 <br />3N <br />F�dsting Use of Building "" " "—"--' <br />Proposed Use of Building _ Gas EMclric O�her <br />Building type: _ Single Family _ Duplex Townhouse _ Multi•Family %� Commerdel <br />Typeotproject: _New _Addition _Remodel _Repair_T.I.�Sign_Sprinkler_DemdiUon_Change o(Use <br />DeScriPlion of Work (eddd'anal spece P��d on fhe beck): � <br />you sWrled working without a permk7 _YES _NO <br />� <br />PERINIT <br />_Addn _Alexatlon_RsP+lr <br />healer <br />_N.w_�wa� _�n.r.u�_R.w�• <br />MediwlGas <br />Other. <br />I hereby certi(y ihat I have read and eramined lhis applic. lion and know ihe ume �a be Irue a� cortect. AA pm��sions al laws ard wd�nencas Bm'��^g <br />1h15lype of v.ork will be complled M�h whelher speciRed herein w nd. The g2ntlng ol a pertnil dces not presume to gNe authorRy lo vlola�e w cencel <br />Ihe provislon of any olher slale a local law reguialing constnuiian or 1hc performanm ol consWclian. That I am a W�aitnd by Iha m�ner of Ihls prope�Y <br />to ^peAotm �ha xwk for vA�ich appliwtion is made and 1 comply Wlh Ne State ConUactors Law 18.27 RCW and 296.200 WAC <br />�%,�L6 ��� - (Revised7/2011) <br />/Own��Uul orl:ed MSI uro Oale <br />I� <br />
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