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To E Page 1 of 3 <br />� <br />2015�0�-2316 18�.54 (GMT) <br />`J <br />18884000383 From Deborah Shields <br />PERMIT APPLICATION <br />BUILDIN'u'IMECHANICAL/PLUMBING/SIGN/SPRINKLERlDEMOLITION <br />CIN OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-88t 0 FAX 425-257-d957 w�nrnr.everetnva.org <br />.,1 r-a3-is <br />W PROPFRiv TAX d PE h71T a <br />1123 MUKILTEO BLV7 00505800000301 „ ��n �_ <br />fo� newcoustrucbon Shotl PIdVSUCtlIVision lot No (a:lac^ :npy of bna legal tlesaipion� <br />tRON BURT <br />1123 MUKILTEO BLVD <br />_ O��n=r _ Ow-+e� s �9eiv _ Con;raetor <br />o WESCO <br />zss 3909 196th St SW <br />ILDING PERMIT APPLICA710N <br />ing Use of Building RESIDENTIAL _ <br />osed Use ild�n� <br />hng type. � ingle Family Duple <br />DESCRIPTION OG WORK (addrt;onal spxaOrordod en the Dackl <br />REPLACE GASFVRN�CE <br />CAL <br />Type ol ProJecT _New <br />r <br />�,as rangc <br />Clothes dryc <br />Ranoehood <br />APPLICATION <br />Other <br />� SUPPRESSIO <br />425-359-5797 <br />EVERETT, WA 98201 <br />Arent _ienanto-.��.�nmaoabn�.at�c�:ami�omm+cK..�.:oao..a+mn,. <br />���. tt WASHIES971 OB c��Y e�s. u�. n41349 <br />��,o�,er�m,n 800-398-4663 <br />J[rvviGERCOVElL02(14-)la��+3F�b��+�EA3���aERan CO�.� <br />PRICE OF WORK z689.00 <br />PLUMBING <br />_Repalr � �TypeolP�oJeU' _Netv <br />Clcthes <br />c <br />Aledical Gas <br />ol Use <br />_Rep��f <br />I hncEVi ce�JY wai 1 havc rca0 end e.aimned Ihi: appHwLon anE Mow Ihe sama la Ee liuc antl rorretl. N WuNdans of law: ana oiC�i�dntt5 Povemiy I4i, ;ype o! �w�k rt+ bc co�np <br />vnm�cnNhcr epcun��et ncem or nm. Tne D^^'rp ol a Oermn eecs nol pres�me io grve eu:nerfyiu vs7ate er umce� Ihc pmv�sm� uf �ny c��cr slale ci Ixal bu �rpWX:rg tun4vtl o��i <br />Tha1 I am auih:med by Ne or.a�r a! ��y ompeny lo petlemi Ne work fcr v,hrt� appFwtqn n naGe an01 :omoh' �+h ihe Siato Comwpors lar� 18.27 qCVJ and r6.�07�1 W'AC. <br />Jenniler Covello - ."..-..� .-_•.... vav,s <br />OwneriAulhorized AgeM Sign�lurc ^ Daic <br />�Rovisod 9/:014) <br />