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3617 ROCKEFELLER AVE 2016-01-01 MF Import
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3617 ROCKEFELLER AVE 2016-01-01 MF Import
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Last modified
5/4/2017 8:25:49 PM
Creation date
2/27/2017 2:14:48 PM
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Address Document
Street Name
ROCKEFELLER AVE
Street Number
3617
Imported From Microfiche
Yes
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Feb 20 12 07:17a Washington Water Heaters <br />� <br />SITE ADDRESS � <br />3 �c l� i2.� <br />LEGA LOT NO. <br />DESC. <br />TENANTNAME <br />co►m�. <br />4257461563 p.1 <br />PERMIT APPLICAYION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 — FAX 425-257-8857 —vwuw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />GrTpIJ l�l/i-TE2 <br />USE OF BUILDING <br />r� s�den-{'(G� ( <br />WORK DESGRIPTION <br />C F�r��� <br />PARC�L TAX I.D. p <br />ov�3���QU9�� <br />TFiACT OR SUB�IVI.510N 7f <br />T� PHONE <br />LI.S �....� i <br />i/uC u%lt. ��i�j <br />HEATSOURCE <br />Eleciric �Gas_Other <br />PERMIT q <br />�izoZ-�3 r <br />iONE sj� <br />Z 2� �/ �i� <br />CON7RACT PRICE OF W09K <br />� qvr� <br />a���- i C�-��.e� i�a:� �a.-+-e�- <br />NO- I 7YPE OF FlXTUflE OH ITEM <br />1 VIICI <br />Bathtub <br />Lavatory (wash basin) <br />Showcr <br />Kitchen sinA & disposai <br />Dishvrasher <br />Clcthes washer <br />Water heater <br />Sink (sorvica/barlmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />floor drain <br />Groase irap <br />Roof drains <br />� Other <br />NO. � TYPE OF FU(TUHE OH IlEM <br />wc — arr nanaung unns <br />Forced air systems <br />Gas piping <br />Watarheater • <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Rangehood <br />Exhaustfan <br />Hoat pump <br />Unit heater <br />6oiier <br />Fie(rigeration <br />Woodstove <br />Other <br />CITY OF EVEHEfT LOCAL SALES TAX CODE IS 3165 <br />I horeby ceriGly that I have read and examined Ihis appifcation and know the same to be W�3 and correct !UI provisbns ol laws and <br />ordinaces goveming this type of work will be compfied with whelher specitied herein or twt. The granting ol a peimit does not presume <br />to give authoriry to vioiato or cancel Ihe provision ot uny other stata or local law mgulatirg cbnslruction or the pertormance oi <br />consiruction. Tliat 1 am aulhorized by the owner o( this property to perlorm ihc work lor which application is made and I wmpl with the <br />Stato Coilt�aciors Law 1827f� W and 29 200 WAC. �7, /i���c[�� ��� � <br />�_ ��. v"(.lUC��' �'�Q�Z `Lf��%(A/fi"7(�'x..Ll`� �f.�(��1� <br />Sig e ol OwnedConlractodAulhodzed Agent Date ' <br />��QC�-e U� � 1� �>R �i � �' C�cmt{�C�C�'U� ��.����YfVt.l.� Ct�i� <br />�hc,tnnkUw�l <br />
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