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2512 STATE ST 2016-01-01 MF Import
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2512 STATE ST 2016-01-01 MF Import
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Last modified
4/26/2017 7:11:43 AM
Creation date
3/10/2017 12:43:27 AM
Metadata
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Template:
Address Document
Street Name
STATE ST
Street Number
2512
Imported From Microfiche
Yes
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;� <br />����, � <br />� �5 /� �z�a t st <br />�U� �-, <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUM[iING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425 257-8810 FAX 425-257-8857 vrnnv everetlwa.org <br />�-�a-��/ <br />A�ORESS: �S � a 5f0'{ � .5� . <br />L for ne�.v construcbon Sncrt PlaUsuhtl�vis�� <br />:R s+e✓e Coo � <br />s .� _S 1� S-i a-� e <br />aTv Tax n <br />No._ (i��ech copy ol iong Icgat descr�Dhon) <br />�DCD 551–d8�-3/ <br />Ia>a clS�D� ( �v <br />:i��wner lO:rner'sAgent _ContraC:or _CONractor';Agent TenanilT�;+�o�c.�naa�eaermcc�:e-incnaac..r.mmeo..a.nmas�,ca� <br />Lic # <br />UILDING PERMIT APPLICATION <br />[.isling Use of Bwltlu'9 <br />BUs LiC # <br />Zo� ssr-og3� <br />TPRICEOFWORK ?SUCJ- <br />HEATSOURCE- <br />Proposed Use of DuJaing `� a%�aR � � Gas_ _ Eiennc <br />P.udtling type x Singie Family _ �uple■ _Townhouse _ Mulli�fannly _ Commeraal <br />Type of pro�ect New Add�hon Remcdel )( Repair __ T I _ S�gn _Spnnkler _Demol�l�on_C <br />DESCRIPTION OF WORK (ac��no�ai sF��" vonaed u+;ne: ac.a� <br />�,4cFd 5/s" s ha�-(-�^o c� -fz� C a v✓� wi a r� <br />jZ���ra. �oo�l �ro�., C��r-�. C'a���4-ac,7` <br />MECHANICAL PERMIT APPLICATION <br />olProjecC _ New_AOdn _Alteralion_Repair <br />Shorv Numbcilpl ol lixlures <br />— av handlino und5 <br />a�r <br />ofFieads <br />of Use <br />�.cJG� / / <br />PLUMBING PERMIT APPLICATION <br />Type of Pro�ecC _New _Addn _Alleralion _Rcpair <br />Shaw Numbrr (lq olliifures <br />Kdchen <br />heater <br />Med�cal Gas <br />Other <br />i nereEy cemty thal I nave read an0 e.ammed Inis app5calmn anE Mnmv Ine same to Ce Ime , n� cmrcd Ail pmv�s�ons oi id,vs , nC erQinances govem�ng I��s ppe ol �wrk ndl Ca cempfetl <br />w/h w�eTer spe<JIeC Pereui or nct Tne �ranling ol a pertn.l ooes nol Dresumo lo grve aN�onty �o nolale or cancel i�e pwors:on of any ot�cr siale or lowl �aw iegubing ccmimcLen <br />iTal I am aui�erced Ey i�e o�vnet ol i�rs properfY �o pMorm i�e wort lot x��N aDC����lion Is ma0e an0 1 rompry �ru� ihe Siaie Ccnlratlers Lmv 18 27 RCIV ana 196 2MA N'>C <br />(/�/�u�fQ L�Z� � � Z�� � <br />Owncr/Authorized Agenl Signaturc Daie (Revised JR073) <br />
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