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10523 19TH PL W 2016-01-01 MF Import
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10523 19TH PL W 2016-01-01 MF Import
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Last modified
4/10/2017 8:31:55 AM
Creation date
4/2/2017 3:22:15 PM
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Address Document
Street Name
19TH PL W
Street Number
10523
Imported From Microfiche
Yes
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SITE ADDRESS <br />� � i�'1 <br />LEGAL LOT NO. � <br />DESC. <br />PERMIT APPLICATION <br />CITY VF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 3�� _� 7 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK I TRACT <br />PARCEL TAX I.D. M <br />� <br />;�lr� 7�2-17 <br />PERMIT 1 <br />�� %�'L :� / <br />i�� <br />MONE F��7L �I�� <br />7ENANT NAIAE I CONTACT FOR PERMIT PHONE <br />. � � �U�'.�� � �(�-P'�� �Yl � ��G�� �� 0'Q )�`l � <br />CONTRACTOR AUDRESS CITYfLP PHONE <br />I�c �► �� �1�r�5 4� �� za 4val���.�:clf3 i,��� 9�'zrz �� i�q i- ��=� •� <br />CON LI E SEf � � •. , � _ <br />USE OF BUILDING <br />WORK DESCRIPTION <br />Ur w Co�/�i��,�io, <br />PLUMBING <br />NO. I �TYPE OF FlXTURE CR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Ki(chen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/badmcpJetc.) <br />Backfiow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />HEATSOURCE <br />_ Elechic � Gas _ Other <br />� <br />PRICE OF WORK <br />N0. I TYPE OF FlXTURE OR fiEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />RefigeraCon <br />�Voodstove <br />CITY OF EVERETT LOCAL SALES TAl( GODE IS 3705 <br />I here6y ceritify thal I have read and examined fhis application and know Ihe same to be true and correct. All provisions of laws and <br />ordinaces goveming this lype o( �+ork wiil be complied with whether specified herein a not The grantirg of a pertnit does rrot presume <br />to give authonty to violale or cancel lhe provision of any other state or loce�i9w reguladng constn�ction or lhe perfortnarwa nf <br />construdion. That I am authorized by the owner of this property to perfortn the vwrk for whlch applicaHon is made and I:s�:nply with the <br />State Cqptractors Law 18.� RCW and 296.200 WAC. <br />��� <br />� <br />�U�' %3�4 <br />
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