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2411 PINE ST B 2016-01-01 MF Import
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2411 PINE ST B 2016-01-01 MF Import
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Last modified
2/24/2017 6:49:58 PM
Creation date
2/24/2017 6:49:53 PM
Metadata
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Template:
Address Document
Street Name
PINE ST
Street Number
2411
Unit
B
Imported From Microfiche
Yes
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�L���RI�I�� Pf�RMI`�' APPL��A`T���V <br /> CITY O�' EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STRFET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org �-a�� -I S <br /> � �1 r _Gt��7 <br /> .2y�! Pi••i ST r,az.4� 9L'�r,I ( ,�nA/ fV� <br /> PROJECT ADDRESS <br /> � k �.�d,s S�17b View U� �A F„e�.� WA 9Q2�7 47�- '3�14 ,0�77 <br /> Owner MailAddress City S1alelZip Phone <br /> Tenanl MailAddress City Slate2ip Phone <br /> ('i(yy;ilEr — <br /> Eleclrical Conlrac�or Mail�ddress City State2ip Phone <br /> Slate License Number(required) City oi Everefl Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage Qf residentiat new construction,remodel or addition) Contact PersonlContacl NumbedEmail <br /> Number o(dr.vices Qf luv�vollage) <br /> Descriplion of Work lo Be Done: �-55��f � � , --�s+—�'��+'h^�4"—t-'Y�h�C-t'�-�"u4s�� <br /> cvYu-(��L e �2c- tu� ( (n S-�d.,c� �J(���j,{ {..if" V� — ---- <br /> 4 <br /> fEE ---- ---- - <br /> CITY OF EVERETT LOCAL SAI.ES TAX CO�E IS 3105 ��� <br /> /hr.re6y certily/hat I have read and examined Ihis applicafion and know the same(o be lrue and __—__— ____ <br /> cortecf. All provisinns o/laws m�d ort/inonces goveming this fype olworfc will be compfeted — -- -- - <br /> whe(herspeci�ed hr,icin ornoL 7he yranling ol a perrnif docs nof prr.sume!o pive au(honty to PERMIT <br /> violafe or cance/(he provisions of any ofhers(ate orlocolla�i rogulafing constniclion orthe <br /> pwfomiancr o(consfruc(ion. That 1 am aufhonzcd by Uic owncrol(his property lo per/orm thc E �,�, ��pg- �� <br /> wo�k Iorwhich�pplica�ion is madc and 1 compty wifh fbe S(atc Confrac(ors Law 18.27 RCW and _ _ <br /> ?.9&200 WAC. <br /> �°"�—_ — QV`_�" lS --- <br /> SignaWrc Uale <br /> news�o nanr✓jma <br />
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