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5525 BROADWAY 2016-01-01 MF Import
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5525 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 9:06:45 AM
Creation date
1/24/2017 9:06:18 AM
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Address Document
Street Name
BROADWAY
Street Number
5525
Imported From Microfiche
Yes
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i <br /> .• , . • nozr,07NG PGRI`T'r APPLICATJOIJ • �� 9 b' '���� <br /> • nPhlic��nt 'ro Con,p7cCc 'rt►i� l'or.m "� 73 `� /�//�/,l I <br /> If mo:c than onc bui.]diny i.^,� Lo bc con�L-rucicd, ;utunit �'� .^.a��.iratc } crrut• � <br /> appli.•�tion for cach building. n �epr►ral•c per.mii: a�i.11 bc i�sucd for cac�h <br /> Uuil�inq. _ 5�''�� /�T�'A�.[.°,_� � <br /> �E'Y ..� � � u � � fcY � <br /> ' � IIu•ildin� Acldre,� <br /> Owncr �c'v r�, c� �c- h F � J �'�.�'-�1�Ts'�� � <br /> Addr.ess �y��y- 60- S t . Lot lilocl: <br /> City 1=,;�� ,-� ,-f Phonc 353 -�93! Subc3iyisi.on (P1aL•) • <br /> Archi:ect/1:ngincer ' • � <br /> City I'honc 1�et-e:; & Ilounds (Unplaltcd) <br /> Cont��clor l���un � l:n�rnt�.�l-�nc� Sec. T�.p. Rgc. <br /> hdd�_•ss C�lio - .s2i;7 ' S .117 " <br /> City LHn r� �x,nnr.f Phone 7'76 � J i�% � <br /> Statc Lice�se l:umber /0 -u��y.c r -�yyL'j ' • <br /> Er.pi:a�ion D��t•e (- /- 7 7 <br /> • • Duilding Usc _ <br /> � , Describe t•�or.l: to Be Dcnc _ <br /> COi�?.��::' FLC^_ P"LGII 073 P.�',�:uE SIP3 n St� /"� C /L ��R`' i /15+a� Ic r9 i^- <br /> .• "' Ji(XCS .'4,• [�- .�y „ArrQ <br /> � <br /> rumber of Stories <br /> . ' �j � � � � M � � .. basement <br /> � <br /> �j�� • ldew Addition Rep�i.r/Itcmodel <br /> NbV lb 1976 Valua�ion of Con_t_uction S <br /> • CI�Y �OF F.VERETT �' 700 = <br /> • . • . Inspection Dept, Si.gned I3y <br /> ' • 1 t� : . For <br /> ;.; t � Owner . � Phone <br /> ' Do 1?ot• t•;ri.t•c 11c1o�•: Thi� Li.ne -I'or Cit:y Usc Only <br /> Datc ::cccived � ' "'� � • � Use Sonc ' � _ <br /> 1T).in C:�ecl: 17umbcr , • I'irr: 7,onc <br /> �'�lu�tion ' • Occiipancy •Groui� • . <br /> rem:t I'ce • Tppe of Con:,l�.r.uction <br /> Plan Cl�eck I'ce Occupruii: Load _ <br /> 'ToLal Pcc llue Sprinl;lers Reqnired <br /> n,tc is:.l,ccl • • . <br />
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