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10601 4TH DR SE 2016-01-01 MF Import
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10601 4TH DR SE 2016-01-01 MF Import
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Last modified
4/10/2017 8:40:19 AM
Creation date
3/7/2017 11:48:05 PM
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Address Document
Street Name
4TH DR SE
Street Number
10601
Imported From Microfiche
Yes
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,--� P( RMIT APPLICATIC V <br />����CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />ckziaz <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />IOG01 4 DR SG, GVGRETT, WA 98208 00742900001300 I��Sa 3-G� <br />LEGAL LOT NO. BLOCK ITRACT <br />DE <br />OWNER ADDRESS PHONE <br />LYONS, JACINDA 10601 4 DR SG (q25)348-3604 <br />�• EVERETT, WA 98208 <br />TENANTNAME CONTACTNAME PHONE <br />PAMELA HILL d25 81J-3124 �133 <br />CONTRACTOR ADDRESS CONTR.LICENSE�F <br />FAST WATGR IIIiATL'K COMPANY 12601 132ND AVB NH pp51'WHC052DP <br />KIRKLAND, WA 98034 02/16/2007 <br />(425)R14-3124 <br />PROPOSED USE OF BUILDING suna��o M�ehanlc� WORK AddiHon HEAT SOURCE <br />PERMIT Combinallon Plumbinp NlaraBon Elaetric <br />TYPE O�molition Slpn TYPE New as <br />R� alrlMaint her <br />CONTRACT PRICE OF WORK $349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remove/Rcplacc Clectric Water Heatcr <br />PLUMBING MECH.�NICAL <br />NO. TYPE OF FIXTURE O ITEM O TYPE OF FIXTURE OR ITEM <br />WATER CLOSET ______ AlC•A/HANDLING UNITS <br />BATHTUB _____ FORCED AIR SYSTEMS <br />_�_ LAVATORY (WASH BASIN) __,._ HEAT PUMP <br />SHOWER ___ UNIT HEATERS <br />� KITCHEN SINK 6 DISPOSAL _�_ CLOTHES DRYER <br />DISHWASHER _ RANGE HOOD <br />WUNDRY TRAY _��__ WATER HEATER <br />CLOTHES WASHER __ METAL FIREPLACE/STOVE <br />URINAL _,_ FIREPLACE INSERT <br />DRINKING FOUNTAIN _�_ GAS FIREPLACE <br />FLOOR DRAIN _� GAS RANGE <br />BACKFLOW PREVENTER __ GAS PIPING <br />__ SINK (SERVICE/BARIMOP/E1fC.) ___ EXHAUST FAN <br />^ OTHER OTHER_________�_—_____— <br />1 HEREBY CERTIFY THAT I HAVE READ AND El(AMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED Y�.'IHT WHETHER SPECIFIED HEREI <br />OR NOT. THE +RANTING OF � PERMIT DOES NOT PRES�ME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LQC :L LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED <br />BY TNE OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITM TNE STATE <br />CONTRACTORS LAW 18.27 RCW ANO 298.200 WAC. <br />Signatura of OwnedContractorlAuthorized Ageni �,.-, �,- ��r "� ,- Date 03/IS/2005 <br />R11 MI <br />
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