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3426 BROADWAY 2016-01-01 MF Import
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3426 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 6:01:37 AM
Creation date
1/24/2017 5:59:53 AM
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Address Document
Street Name
BROADWAY
Street Number
3426
Imported From Microfiche
Yes
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l�P��ICA,Tdtr�V� FVR +�Cki�54RqJC1 �Ot�1 P��il�['�` <br /> , <br /> everelt <br /> t'in L ver9'rv� � <br /> (ITV O� <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK--PLEASE PRINT <br /> 259-8810 <br /> � t�-� � ��DEMOLITION COMBINATION BUILDING MECHANiCAL _PLUM�ING SIGN <br /> ONR+[R MniLADDR[55 Cliv :IP PH04[ <br /> c� H ,'� Le,,,� ,w�.�3 �> - � ei �a�<t� � a�� -��i79 ,.���-�7,�0 <br /> � F3 (/1 it�UNi MAIL 1D�RE55 GRY 21Y FHONE <br /> K� � ARCMiTECTOR0E51GN[H MAILAD�RESS dTV ZIP PHONE <br /> H �n -- <br /> � H � ,[A4RALCONTRAGTOR MAhADDRE55 CITV ZIP °40NE LICENSE� <br /> V] H ��� � <br /> MC�. �` L:�V! �� <br /> � �4 �i MECMANiGAL TRACTOR MAiL p��FESS CITY 21P P40NE LICENSE� <br /> �'] d <br /> ��U'ndiNGGONTPACTOF MAILA�DRE55 CITY ZIP GHONF UC[NSE1 <br /> ��8 <br /> �. � <br /> �..� fi./.SSOF WORK � . <br /> � y� ryEW '� � ADDITION �. �. ALTERATION ._', REPAIR ." DEMOUTION . �. WOODSTOVE'FRPL MSERT . 1 BUILDING RELOCATION <br /> 1[NANi IMPROVEI.IENT OF IMERIOR REMODEL ONL�' CONTA�T PERSON ANO PHONE N0. r� 1 <br /> rJ y y GONTRRCT V NiCE OF WORN: � ' �~�._�� / � <br /> � y OESGRIBE WOAK AND SOUARE FOOUGE INVOIVED <br /> ��+ �t l br d �erle�l l�c��.�- o'� u25 r� -/�� <br /> � �q rnorosEouseoveuaoiNe I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> yO C/� � S � R APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC i.AlL <br /> IEGALDESCRIPTIONOFPROPERTY�SHOWNBELOW ORATT�CN FOUFCAPIES� PRCVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T'!PE OF <br /> r� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ��ot�_ e�ocK Q� ;S oF � NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �;. '����-I �i � � OTHER STATE OR LOCAL LAW REGULATMG CONSTRUCTION OR THE <br /> I PEFFORIdANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 2 .200 WAC. <br /> SiGNRTUREOFGONTPFCTOROPAUTHORREO ENT pATE <br /> X , � o -/ c, <br /> J rao�i.c�nooeEss {�' 1 � / ,U'(I'�1 <br /> +� ��� V7 �nCSW 4V �V �`l " P(�CI TSCITVB I 55 C SE O��NDBUSINE AM= <br /> 1 1. <br /> �- . PLUMOING MECHANICAL _ <br /> l ' <br /> � ��� NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—AiHNOLG UNIIS--H.P. <br /> I BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> 1 � LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> CLOTHE�ORYERS ' <br /> '��� K TOGHEN SINK 8 DISP VENTILATION FAN ___�_ <br /> ' � DISHWASHER RANGEHOOD <br /> LAUNDRV TRAY WATER HEATER ___ <br /> CLOTHES WASHER WOODSTOVE _T_ <br /> I �� UFlINAL METAL FIREPLACE 8 Cn!NNEY � <br /> DRINKING FOUNTAIN FIREPLACE INSERT _T_ <br /> FLOOR DRAIN HEAT PUMP <br /> � _ BACKFLOW PREVENTERS i GAS PIPING � <br /> � q1 � ROOF JRAINS—RAINLEADECS EXHAUST FAN <br /> ' SINK�SERVICE—BAR.ETC.) <br /> i !�.t��� —"_ i � <br /> I SUB TOTAL $ ; SUB TOTAL S ' <br /> PERMIT $ � PERMIT 5 <br /> � TOTAIFEE $ TOiALFEE $ <br /> ��I��. PEGEIPT NO. <br /> FfiONiGEiOAGH �T �FAflSETBAGK SI�ESETBACH PLANCHECNNOMBER FEE <br /> USE20NE I WT�RGA VACANTSITE FEES VALUATION FEE <br /> �—�� YES �'� N� BUILDING . ' <br /> ttPEOfLONS'.A�.IOWABIE iv.[OFLONSi.AClll�l acuv�xr xoaoMuixGuxrt9 i <br /> GROUP PLUMBING � <br /> i <br /> i <br /> 5¢E OP BLOF NO.OF STOFIES BASEMENT MECHANICAL <br /> ❑ YES I� NO <br /> OCCUPANCVLOAD FlPES�PNKlERSREO'D HEIGHTUMITRTION OTHER <br /> i J YES ❑ NO STATE BUILDING SURCNAHGE <br /> RE�SON FOR SPflINKLEPS <br /> STAR ENE(iGY SURGHARGE <br /> pPPLICq110N�GC.BY PLANSAPPROVEOBY CITYOFEVERETT PUBLICWORK$ � <br /> LOCAL SALES <br /> �� TAX COUEIS 3105 TO7AL <br />
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