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1414 BROADWAY 2018-01-02 MF Import
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1414 BROADWAY 2018-01-02 MF Import
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Last modified
12/18/2019 9:08:47 AM
Creation date
12/18/2019 8:58:20 AM
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Address Document
Street Name
BROADWAY
Street Number
1414
Imported From Microfiche
Yes
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� � <br /> CITY OF EVERETT <br /> CONSTRUCTION <br /> 25s-asro PERMIT <br /> Permit Number: B48176 <br /> ADDRESS FILE copy <br />� SEPA Number: <br /> Iasue Date: 1`k�'t <br />� Job Addreee: 9.�'BROADWAY Tenant Architect/Designer <br /> owner <br /> PROVIDENCE GENERAL MED COMMUNITY HEALTH CEN <br />' PO BOX 1147 WA 98201 <br /> EVERETT <br /> 261-2000 <br />� Mechanical Contractor <br /> Cenerel Contractor Plumbing Contractor <br /> CARL LARSEN CONSTRUCTION <br /> 4801 76TH SW <br /> MUKILTEO WA 98275 <br /> 355-4745---- <br /> CARLLCI160NH <br /> Cont:ct Pe[eon <br /> Type of Permit: BUILDING <br /> Heating �yetem: NONE <br /> WSEC Code: <br /> Description of Work: T.I. <br /> Legal Description/ LOTS 17-24, BLK 288r HILTONS 2ND ADDN <br /> property ID: <br /> Construction Lender: <br /> Propoeed Uee of Building: MEDICAL OFFICE ______________�__-_______ <br /> - ___�_�_`___________________ <br /> ac�azacoas:v`aa-vxvaaasvvc--cc�ac-e'-'_a MECHANICAL FBE <br /> PLUMBING t Type of E ipment <br /> Qty Type of Fixture Fee 4 Y _____ �b Total_________________ <br /> Sub Total _____________________ <br /> --- ___��__�_�____________________________________ TYPE OF CONSTRUCTION <br /> SETBACK FOOTAGE OCCUPANCY NoCeDWelling unite: Allowable: V-N <br /> Front 0.0 Load Size of Bldg: Actual: <br /> Rear 0.0 Group B2 tlee Zone: <br /> Sidel 0.0 / Storiee 1 HelehtfLimit: Fire Sprinkler Req'd7 N <br /> Side2 �'� ReasonnFor Fire Sprinklere: <br /> Lot Sz Fire Alarm Req'd? N Reaeon For Fire Alarm: <br /> Remodel Sz: FEE <br /> ---'--___-_-_-- <br /> '--'-'-------' <br /> Plane Approved By: JM Plan Check Receipt No: 113859 Fee: 273.93 <br /> FEE TYPES PERMIT VALUATION q10.00 <br /> Huilding 50000 <br /> Plumbing <br /> . Mechanical <br /> Sprinkler <br /> Other 4.50 <br /> St. Bldg. Surcharge <br /> City of Everett Local public Worka <br /> Salee Tax Code is 3105 Additional Plan CheTOTAL� 5414.50 <br /> *4.50 CREDIT GIVEN ON PEAMIT FEE DUE TO OVERPAYMENT OF PLAN CHECK FEE <br /> Permite expire if work not commenced within 180 days or ceases more than 180 daye. <br /> O <br /> c� cn m aa � <br /> _ � rc� �.. <br /> mnoc� r.� <br /> T � .r� 0 � <br /> � � �� . � � . � <br /> � � � � P µ <br /> � � � � <br /> ppR 281995 � o o � <br /> l7 <br /> I� <br /> """�������� EVERETT a <br /> CITY OF p�vls�on �� B 48176 <br /> Building C, <br /> ,:, <br /> i <br />
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