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3410 W MUKILTEO BLVD 2016-01-01 MF Import
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3410 W MUKILTEO BLVD 2016-01-01 MF Import
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Last modified
5/3/2017 6:32:17 PM
Creation date
2/26/2017 4:26:07 AM
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Address Document
Street Name
W MUKILTEO BLVD
Street Number
3410
Imported From Microfiche
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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />SITE ADDRESS <br />_>y�u w- v�w����TC�o t3��n <br />LEGAL LOTNO. dLOCK <br />DESC. _ <br />OWNER <br />C� lil`� WL �U fL1�C'z <br />TENANTNAME <br />i �� <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />3'-{ lu �s-� — <br />CONTACT FOR PERMIT <br />�, <br />Cs2��-��� Gt�Ri�C�siZ ING Rbx ��'`��{ <br />CONTR. LICENSE # <br />USE OF BUILDING <br />� i�-I�CZ- <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (Wash basin) <br />Shower <br />Kitclien sink & disposal <br />Dishwasher <br />Clolhes washer <br />W ater heater <br />Sink (servicclbadmop/elcJ <br />Backflow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof diains <br />Other <br />HEATSOURCE <br />ElccUic __ Gas <br />�� ���-o� <br />f O&-���-G(� <br />PERMIT it <br />PHONE �� <br />ZS°I-iz�2, � <br />PHONE <br />�U�r �� uNt � ��Y - �z�a <br />Other <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTUR[ OR ITEH1 <br />H/C - air handling units <br />Forced air systems <br />Gas piping <br />W ater heater <br />Gas fireplace <br />G2s ranc�e <br />Cblh�s dryer <br />Ranc�e hood <br />Exhauslfan <br />Heat pump <br />Unit healer <br />Bailer <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 _ <br />I hereby ceritify lhal I have read and examined lhis applicalion and know the same to be true and correct. All provisions of laws and <br />o�r �inac�eu`c�o�fi1y10 9iolale oP cancelrtlhelprov s on olt any Iolther�stele or Iocall awe egu aUngtconsl uction o� he peAormance o( Presume <br />conslruction. That I am authorized by lhe owner of this property to pedorm the �vork (or which application is made and I comply with the <br />State Contr�ctors La�.v 1627 RCW and 296200 WAC. <br />� — i-. i,� /1 Co -��/-O� <br />1 <br />
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