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4506 5TH DR SE 2016-01-01 MF Import
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4506 5TH DR SE 2016-01-01 MF Import
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Last modified
4/3/2017 10:46:23 AM
Creation date
4/3/2017 10:46:15 AM
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Address Document
Street Name
5TH DR SE
Street Number
4506
Imported From Microfiche
Yes
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425-252-1G66 .M HEATING 1 � 632 a.m. 02-21-2014 e/A <br /> PERMIT APPLICATIOfV <br /> CITY OF EVERETT PERMIT SERVICES <br /> • 3200 CEDAR STREET, EVERET(, WA 98201 <br /> 425-257-8910—FAX 425-257-8857—�vww.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 9 AM TO 4 PM a �a 7 ��l{ <br /> SITE ADDRES PARCELTAX I.D. tt PERMITlI <br /> D �" �r� W 3 1 02-0(�� <br /> LF_GAL LOT NO. BLOCK TRACT OF SU�OIVISION p <br /> OESC. <br /> UWNEfl ADDHESS CITY2IP PHONE <br /> W�,un� �eema,v� sar��2 as�.(cmle. �D l� 3q3 at�(3'�i <br /> T[NANT AME CONTACT FOR PER�d1T PHONE <br /> r.�T�o� I'� � �A��S-e—-----�d��.�� <br /> � <br /> CONTI7. LICENSE ll /1 M� �� � ^^^ �� <br /> l. (>'-]�J <br /> USE OF OUILOING HI:A7 SOUflCE CONTRACT PRICG OF WORf< <br /> �Eleclric _Gas_Olhcr I 1 �0 q�Q'� <br /> WORK DESCRIPTfON <br /> I�ns�ull I�a$ ��t� �- our' hcc..d� e�,�' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUf7G OR 1T[M N0. TYP[OF FIXTURE OR ITEId <br /> Toilct NC-air handling unils <br /> 13alhlub Forced air sysloms <br /> Lavalory(w,ish basin) _ Gas piping <br /> Showcr Walcn c�alcr <br /> I<Itchen sink E dispusal _ Gas lireplaco <br /> Dishwasher Gas ranga <br /> Clothes washer Clolhes dr�er <br /> Walen c�aler Rango hoad <br /> Sink(service/hadmop/elc.) Exhausl fan <br /> �ockllow provonlor _� I-Ica� purnp �.. <br /> Urinal Unil hcalcr <br /> Drinking Founlain _ f3oilr.f <br /> Floor drain fielrigeralion <br /> _ Grcaso Irap Woodsl v�c�� �� " 1 <br /> (luolJr�lns J_ Olhcr�{� Ttu'(1A1'� <br /> Othcr_.__ T <br /> CITY OF EV[H[TT I.00AL SALES 7AK CO�[IS 3705 � <br /> I hereby cerilily Ihal I have read and exarnined Ihls opplicalion and know Ihe sarno lo bo true and correcl. �II provisions ol i�vis and <br /> ordinacr.s c�avnminp ihis Iypc ol work will�c complird wiih whethcr spnciGod hcrcin or nol. Thc grenling ol a pcnni� docs nol presumc <br /> la givo auUiorily lo violalo or cancel Iho provision ol any olhet slalo or lor.al la�v regulalin9 conslruciiun ar Iho perlo�rn;�nce ol <br /> consliuction. Thal I am aulhorized 6y Ihe ownor ol Ihis prope�ly to perlonn Ihe work lor ahich application is made and I coniply vnlh Ihc <br /> S�alc Coniiaclor, Law 10.27 W and 'Z96200 WAC. <br /> 1�-ean,ln� a�aa ��- <br /> Signalur o!OwnedConlmc� Aulhonzetl A enl Dalc <br /> _._-J <br />
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