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6424 CADY RD 2016-01-01 MF Import
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6424 CADY RD 2016-01-01 MF Import
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Last modified
1/24/2017 5:49:05 PM
Creation date
1/24/2017 5:48:45 PM
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Address Document
Street Name
CADY RD
Street Number
6424
Imported From Microfiche
Yes
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APPLICATI(!"y FOR CONSTRUCT"°�N PERMIT � <br /> TO BE COMPLETEO IN BLACK INK—PLEASE PRINT <br /> t <br /> _ .. —'.__� • <br /> BUILDING �EPARTMENT HEATING S!STEM: GAS ,�ELECTRIC J .___ _ _ _ __ � <br /> 259 SB10 <br /> DEMOLII'ION COMBINATION BUILDING xMECHANICAL xPLUM8ING � SIGN <br /> IWNFfi MAiL�DJRF.S'I f.ItY 71� PnON[ � <br /> /�L 7�.M f�0� 1�(4 ,`.it�4�4C!h1�14 q82`10 �i�1 -�000 <br /> t[nnNt innu nooness arv zin rr�or�E <br /> 'HC�ULECTORDEoIGNIN MMIAD�RESS v 2�P PIIONE <br /> �L� �rJG � 3a33 aQ�c�+ro�cc�G����!��z� C7��) �7Z -9� 70 <br /> GENERAL CONIRRQOR MAR qDDRE55 CITv liP PNONE SfAiE UCENSE t <br /> `��1N� 1-�Z,w��c.� �,�c ?�.'� 1344 S►.Y►�awiis►�8Z9/ 33�?vxJ SdHsNHroB«r <br /> �EC��RNiCRILONTqACiON M.11l�D�R[55 CITV }in P��ONE :TRTELILENSE� <br /> BOo $►4T. �VItTq� �7� - 275/ <br /> �UMP�IN�G ONT�RRCi�OR � �yAiLp�ppAESS CITV 7iP PNONE STA7ELICENSE� <br /> '���el�►�ul`��-l�if3 udG, 337_(rA9$ <br /> CON/RACi PRICf Of WOFN �j�_ <br /> 7� � �� <br /> DESCR'BE WOFN AND SIXIAPE F;OTAGk I IVOlVEO CONiRCT P[RSON AND PHONE NO <br /> SFI� 14%70 ` rJ -7�� A[r ��n� a3�- 2000 <br /> 4Z0 GATL= -� ° <br /> I HEREBV CEFTIFV THAT I HAVE HEAD AND E%AMINED THIS <br /> PROPOSEDUSf OF BUI�OING J APpLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> 7 �R. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �eai�r.scaiatwNov�Roaearvis��ovNeeiowonnruc o 'owes� WORK WILL BE COMPLETED WITH WHETHER SFEGFIED HEREIN OR <br /> wr �S e�ocK — ov A/�� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> — AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> �/ k' �[ OTY.ER STATE OR LOCAL LA REGULA7ING CONSTRUCTION OR THE <br /> — — PERFOR�IANCE OF CONST CTION. THAT I AM AUTHORIZED BV THE <br /> J ' ? S R OF HIS PRGPE TO PERFORM THE WORK FOfi WHICH <br /> ---�' � ' PPLIC N IS MAD AND I COMPLV WITH THE STATE <br /> ❑A ElTRx10 NUM6EN 1 <br /> ���,.�� !J� Z S .3�' ONTRA RS LA 8. RCW AND 296._00 WAC. <br /> CONSTPUf,L1pN�OAN LEN[1EN ADDf1E55.TElEF40NE NUMBEIi <br /> �-Vn�NWbeo W1eRac,ac,sr'._ - Z S�i4 9¢ <br /> PfIOJECTADDqESS ^ 7 ,�^ . ��ca�nini o q <br /> � l'�l,J �� � cnvnus�r�¢si�ua=i uu <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURC'OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIIET) A�C—A-HNDLG UNITS—H.P. <br /> BATHTUB � � FORCEDAIRSYSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) //� UNIT HEATERS—B.T.U. M <br /> SIIOWER / CLOTHES DRVERS <br /> KITCHEN SINK 8 D�SP __ VENTILATION FAN <br /> DISHWASfiER RANGE NOOD <br /> LAUNDRVTRAV WATEF HEATER <br /> GLOTHES WASHER / WOOD STOVE <br /> URINAL � METAL FIREPLACE�WOOD BURNING) <br /> ORINKING FOUNTAIN FIREPLACE INSEAT A S <br /> FLOOR DRAIN � HEAT Pl1MP �� <br /> BACKFLOW PREVENTERS ; GAS PIPING F W N F ; <br /> ROOF DFlAINS—RAINLEADERS EXHAUST FAN 1/// _ <br /> SINK�SERVICE—BAR,ETC.) <br /> — — — � — <br /> � <br /> SUB TOTAL S SUB TOTAL 5 <br /> PERMIT $ PERMIT S <br /> TOTAL FEE 8 TOTAL FEE S <br /> FOR OFFICE USE ONLY: jy�. ���. <br /> FPONL�[iBACN REARSFtB�CN SI�ESETfiACN �I�NGIECNNJMFFfi fEE 11ECFIPiNO <br /> � � � � S � �... �� � J� I� �/•• � <br /> use vor:e ioT nnen VRCRNT SRE FEES VALUATION FEE <br /> Z-Z s 3ss 9 <br /> rvv�orroNsr Noovsioaies �„YES . �.,��r�ns BUItUMG 7y ,�j Z �� ) ' ��J <br /> Q-N— /1 '� � I PWMBMG — � � O �� <br /> _V <br /> SIZE Oi PIDf 1 iq[S�niNrc�FnS�[ ' BASEMffls NO MECHANICAL ���i �-��� <br /> IYj� Sf t 4Z� r� <br /> �.t Ci/1R G — � „ l <br /> OCCIIPANCvlO�D nnenunMawu r��w�rti.iuiipnoN �ODITIONALPLANCHECN ��� <br /> �O "Z.� � on{eR � � !��� D '[�c� <br /> RC AtiON -- <br /> STAiE BUILDING SURCHARGE / ; i ' ) <br /> 'd��ee. P�ANservo�coev CITYOFEVERETT FUOLICWOPKS y <br /> J� LOCAL SALES -'' '' ��� <br /> � o�rc �/E,�,,�� TAX CODE IS 3�ii5 Tr1TAL � „ � . � <br />
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