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4912 ELM ST 2016-01-01 MF Import
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4912 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:25:17 AM
Creation date
2/12/2017 7:25:11 AM
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Address Document
Street Name
ELM ST
Street Number
4912
Imported From Microfiche
Yes
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FROM :Evergreer� Stdte Heat 8 RiQ FRX N0. :4252596660 Sep. 22 2009 09:43AP1 P1 <br /> l <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 42�-257•8810-FAX 425-257-8857-www.ovorettwa,orfl <br /> APPLICATIONS ARE ACCEPTED FROhI e AM TO 4 PM <br /> SITE ADDpEBS PARCEL TAX I.D,R PERM��l�–� <br /> � _ r`. <br /> LEGAL LOT N0. BLOCK TRACT OR BUBDIVIeION N <br /> DESC. <br /> OWN AO e I Y21P PIiO E <br /> �v�v�t=��2 p.9���-� �>�ii z C Ln s: . �6�0� 2cY' y�7 .3 5'�. <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> E•MAIL <br /> � IT ! �g <br /> C-�/L'�'LG�/GL-:6�Y t_ �j'il�J /h�;�9Z_ <br /> CONTR.UC�N98 t <br /> �-n.C. S5r�2.��T �/20 -- Cy. �"d -.� l/ <br /> USE OF BUILDINO HEpT SOURCE CONTRACT PqICE OF WOqK <br /> ��5�����J� kt-Incirlc `Gqe,.Olhor �� �00 � <br /> WORK DEBCRIPTION � <br /> /J1JS i�.-�6 c ,��i�-T ��>���° S��'%�� h//7�i' Du cT ti.o,Q� <br /> PLU B Q MECHA CAL <br /> ���� TYPE OF FIXTURE Op ITEM NO. TYPE OF FIXTURE Oq ITEM <br /> _ Tollol A/C–nlr hnndllnp units <br /> _ Bathlub z �orcod ntr eys�oms <br /> .,_ Lavntory(wqsh bosln) _ pna plpinp <br /> _� Showor _ Wabr honlor <br /> _ Kltchon slnk 8 diaposal Oas liropinco <br /> __ Dishwashor _ 6as ranpe <br /> ._ Clothos weshor _ Clolhoe dryor <br /> ,__ Wator hoator _ qango hood. <br /> _ Sink(sorvico/harlmop/otcJ Exhausl IAn <br /> ___ _ �nckllow provuntar Z Hoat pump <br /> _ Urinal _ Unit hefltor <br /> _ Drinkinp Fountaln _ Bollor <br /> _ Fioor drain _ Reirigoration <br /> __ Groaea Irap Woodelovo <br /> __.. Roof drnins Othor <br /> � Othor " — <br /> � CRY OF EVERETT LOCAL 9ALE8 TAX CODE IS 3103 <br /> 1 horoby caritlly lhal I hnvo rond and oxaminod this oppllcnlion nnd krww tho samo lo be true qnd corroct. All prov!slons ol laws entl <br /> ordinncas Qoveminp Ilds typu ol work�WII bo cc�mpliad wlUi whmhor speclllod horoin or not.Thp pranling of p pormit does nOt presumo <br /> to pivo aulhodty to vlolnro or cancol tho provlslnn ol any olhor stato or locnl law regulatlnp constructlon or the podormanco ol <br /> consirucllon.Thot 1 nm aulhorizud by�Iio ownor ol lhls propony to portorm the work for whlcl7 npplicrition Is made anrl I comply witli the <br /> Stnta C�ntiac�ro L�awJ 18.D RCW and 208.200 WAC. / <br /> c��"'�--- � �R1��.--- ��_/ ......C.. <br /> 9lpnnturn o wnor ontroclor ul onza pant �— <br />
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