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2017 126TH PL SE 2016-01-01 MF Import
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126TH PL SE
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2017
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2017 126TH PL SE 2016-01-01 MF Import
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Last modified
4/17/2017 7:23:14 AM
Creation date
4/14/2017 10:59:36 PM
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Template:
Address Document
Street Name
126TH PL SE
Street Number
2017
Imported From Microfiche
Yes
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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St.. Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 0 PM <br />PROP[RTV TA% N PERM�T M._ <br />11flIlRF55• ^ � 1 �....�ti- i G: <br />lor new cunslmdion Shoil PlaVsuhAmsion <br />� i� l;� L= 1-�l_: C-� L1i �� <br />7_ C' 17 i,� l`�' J'� ;� � <br />1 '� . <br />�;,�.� 1� .�,,, ;, ,i� �,��,,, <br />UILDING PERMIT APPLICATION <br />Lol No IaI1Tch mpY o� �o�'91cgai descnpliun) <br />'-- --'Phone/E�mad K�+S �r � J � �' <br />j , � � <br />CiIylSleto/Zip !- L' L.) ti � LL � ):, � <br />La�uc u <br />PhonclEmail <br />CONTACT FOR PERMIT <br />Ph�nN[�mail <br />CONTRACT PRICE OF WORK <br />xistin Use ol liuildm ______ � HEAT SOURCE. <br />9 9 ----- <br />roposed Use ol 8wlding Gas [ledr e O�her <br />wlding type� Single Famdy _ Duplex _Townhousr. _ Multi-Family _ Commercial <br />ype ol pro�ect _ New _ Additwn __ Remodel __ Repair _ T I__ Sign _Sprinkler _Demoldion_Change of Uso <br />escnphan ot Work i,'n�hnanar r�•aca �,.c�:drd cn �ro r�da <br />you slarled worMing wllhoul a pennit9 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />of ProJocl: _New_Addn _Alleratlon _Repalr <br />- air <br />Other <br />/SUPP <br />PLUMBING PERMIT APPLICATION <br />o1Pro�ocl• _Now_Addn _Alloiatlon_Ropalr <br />Show Numbcr(p ollikfwes _ <br />Idedical Gas <br />Olher. <br />Number ol Hr.aAs � """'. <br />i��• ,�.by rriuly Ihat I huve read and e.aminetl Ihis appiication and Anow tLe same lo Uo truo and conect All Provisions o� laws and ardinances goveming <br />nr, i;pe ul .voik �vit Uu complmd w�th vJmlhei speciGed hemin or not Tho g�anlinp o� n permil does not prosume ta givo aWhority to v�olato or canrel <br />p���.� piuvision ol any other slale or lowl iaw irgulaiing conslmction or the peAormanco ol consvuqion Thal I am aut�onzed by I�e avmei ol Ihis property <br />lu �,erlom� tho woik lor which nppliwlwn is made and I comply wilh Ihe Stata Contreelore Law 19 27 RCW and 296 200 WAC <br />e � -� — � � <br />wnorlAuthcdzelfX{an�5ipnaluro , Ih:c 1`ersed2R0U1 <br />
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