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12610 18TH DR SE 2016-01-01 MF Import
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12610 18TH DR SE 2016-01-01 MF Import
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Last modified
4/10/2017 10:20:39 PM
Creation date
4/4/2017 3:46:57 PM
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Template:
Address Document
Street Name
18TH DR SE
Street Number
12610
Imported From Microfiche
Yes
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FEFIMIT APPLICAI'!OiV <br />BUILDINGIfiIIECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITICN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St, Everett, WA 982G1 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />qIlDRESS: `/ , _ PflOYeHTVTA%p PEPMITtt _ _ <br />Tj <br />fornewwnstmction� Shon <br />t <br />No � (atlac� wpy ol long le9al oescnplien) <br />7-ZgZ <br />PLICANT:�Owner OwnefsAgeni Cemrador Conlrac(or'sAgenl Tenanllm�;sipm.qout�;morcorxr.:roomeow,ermao..v�inmovpacal <br />NTRACTOR �Q ��/O h ���� f L Z I Lic. #,F�yK06�O73o�R COE Bus. Lic. X <br />�res, �,4,{,�` PnonGEma�l 9ZS ��%-29Z�l <br />E mail <br />UILDING PERMIT APPLICATION <br />h qz5 �r� ii,�o <br />PRICE OF WORIC <br />Exisling Use of Building NlA _ � <br />Proposed Use of Buiiding f{r/c� <br />Buildin� type: � Single Famdy _ Duplex _Townhouse _ Multi�Family _ Commercial <br />Tvoe of omiect� �C New Addition Remodel Reoair TJ. Sian Sorinklei <br />DESCRIPTION OF WORK (aCdrtiona� spacc pn �,oed on rne nacti): <br />S�iZ /%7%S.i—/='�n�n F�ovr <br />667 s, F _ (�;,r 5.'�— <br />MECHANFCAL PERMIT APPLICATION <br />ol ProJect: �New _AOtln _Allera�ion _Repalr <br />Show NumDe� (a) o! liriures <br />NC — air handlinn umts <br />healer <br />rai <br />Number of Heads <br />HEP.TSOURCE� <br />{_ Eledric __ 01lier_ <br />olition Chanve of Use <br />PLUMBING PERMIT APPLlCATION <br />ol ProJect: �New _Adtln _AIICration _Repair <br />� BatMub <br />Lavatory (wash <br />� Shower <br />� Kitchen sink 8 c <br />� � Dishwasher <br />r Clothes washer <br />Metlical <br />Olhef: <br />I here�y ceMy i�ol I have rcatl anE exammetl ��is aDP6ce;ion anJ tnow Na same �o Co We antl conect NI Dmvisicns ol iawe ac0 aNinx�cef goveming Ni, rypo of work vn� Ge compOCJ <br />wet�wne��erepealieaneminornol TPo nunBolapertnudvnnolpresumemgrveauNanrylodolaloorcancelNapro�isionolanyoNerslateallocaltlwrepublNgmnslmclion <br />Thal I�m auNonne Cy Ihe avner of Ni pr peM �o Verlortn No work lor w�itl1 aDD�raUon i5 made antl I compN wctl Ne Slala ConUatlors Lew 1827 RCW ��C 290 200A WAC. <br />�7 io �3 <br />� �Z <br />Owner/Authotlzca Agent 51 tnru Date (Revised C✓2017) <br />
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