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551 PILCHUCK PATH 2016-01-01 MF Import
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551 PILCHUCK PATH 2016-01-01 MF Import
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Last modified
2/24/2017 1:01:44 PM
Creation date
2/24/2017 1:01:40 PM
Metadata
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Template:
Address Document
Street Name
PILCHUCK PATH
Street Number
551
Imported From Microfiche
Yes
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To Pagc 2 of 3 201��n9.09 7G 76 55(G�dT) 'I89p85?•11�6 From Cavid Wya!t <br /> ����°��N��� ������ ����9���'��� <br /> ca V�� Q��= �'V��—'���� 6�a���lliaT ���`��C;�� <br /> 3200 CEDAR Si'REET, EVERElT, WA 9820i <br /> 425-257-8810 - FAX 425-257-8857 -�wnw.evereihva.org n v�`�y <br /> � <br /> � <br /> , �l �l�-0�� � <br /> � .�� l �? /c. h�c.� l� �� I <br /> � PROJECT ADDRESS � <br /> t (,� / � / / L p I <br /> �Vll�{ 5 l '� C3 5.� I ti �C('7c.'i!� /Gfl� C..L�i�l� (,�,i^ L�rJZL>� '' <br /> iOrmer L7ailAdQreas City Sta:c^up Pl:one I <br /> � <br /> ITe�3�t FdailAddrtss Ci;y g�y��'p ph��� I <br /> I (3k0) <br /> ��vc� �-�- ��Pc-� rlc7��c �70 �0.,� �}�- - (---ti„�lPt-nlls - � I� - �l=e"24� 45'�-bL•�I� <br /> iEfec;r,cal Conlrector t.tai;Adtlress Crty Sia:el2i; P�ona <br /> � r ,��,.��—�-TF`Z`1=1-51'L 5 - ? z�t- I <br /> i S:ata Vicense Wu.r.6er(reqwred) City of Evareti 6usinass license Dlumtrer(required) i <br /> ' SFIZ "`' I <br /> I .�' %i"vc� <br /> ?roposed Us�of Bwlding Conirac:Pri;.e of Wod; I <br /> i <br /> � <br /> Squ;r2 Foota3e(h residenUal nev wnstruction,rzmodel or addition) Cootact PersoniContact�Vumber/Email I <br /> � <br /> i <br /> iNu.Tber of devices (If lo•.v�•cltago) <br /> Cracription of lNorA to Bo Done: i�'S �. !� L � ' <br /> I -- / ( � Y�tl l��!, '� �� � <br /> I - <br /> FEE <br /> CITY OF EVERGTf LOCAL SALES FAX CODE IS 3�05 ��GfD I <br /> i hereby cerfily thet I Irava raad and ezaminod lhis epplicahon nnd fmow fhe same(o Le We and <br /> conecL AI!provisions oflo:rs and orJinances oovr.ming this type o/ti:�oAr w.ill be comple;od <br /> �vbefl�zrs00cif+od he�em o�nOt. The r�Tdnfing o(a pamirt dces not presumo to yivo aulhonly to PERMIT� —� <br /> riolato orcance!the provisruns o;an�oU�erstate erfot�lle�r regulaling construc!lon ortne ``` ��I <br /> performerce ol constructicn. 17ra!(am aufhonred by�the ox•nerofthis property(o p�Aorm the � , L1 O Q . O�� i <br /> ��odcf�rn�h�chapptice asmadeandlconrplys;i76fheStateContractorsLa�viB.27RCLVand � � <br /> 29c.200 WAC. --- <br /> �f _ �. <br /> i <br /> j j��^���- � _� �� �� <br /> /�ignatum Date — <br /> %� . � . . . . . . <br /> s�v�se�oaasr.o;. _ ..._ — ------� <br />
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