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4935 EVERGREEN WAY BASE FILE 2016-01-01 MF Import
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4935 EVERGREEN WAY BASE FILE 2016-01-01 MF Import
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Last modified
2/9/2017 6:39:38 PM
Creation date
2/9/2017 6:39:19 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
4935
Tenant Name
BASE FILE
Imported From Microfiche
Yes
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�`�E"��' � C"�NSTR4JiCTlO[V �-� .__ <br /> arv oF <br /> E�Vese� pERNlIT PERMITNO. ZOJ�U <br /> ❑ DE610LITIQN ❑ COMBINATION ❑ BUILniNG ❑ MECHANICAL � PLUMBING ❑ SIGN <br /> OWNEfl MAILAOORE55 CITV 21P PMONE � <br /> Fish Kiny 4935 Evergreen Way Lvere!:t 98203 <br /> AqLHItELtU'nL�513NER MAILAODRE55 CITY Z:P PHONE <br /> GENEPAL CONTflTCTOfl MAII AODRE55 CITY 21P pHONE LICENSE F <br /> ME^.HANILALGONTRACTOfl MAILA�ORESS CITY ZIP PHONf IiCENSE� <br /> PLUMBINGCONTHAQOR MAILAOO�E55 CITV ZIY PMONE UCENSEx <br /> L1-inco Inc. P.O. Hox 2797 Fwerett 98203 258-•6938 DANCa4752iS& �878�(`1 <br /> CLASS OF WORK <br /> ❑ NEW O AODITION � ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOf:AT10N <br /> VALUATION OF WONK <br /> E <br /> DESCRIBE WORK . <br /> Install tiolet room and floor drain. <br /> HE/�T SOURCF <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br /> PROPOiED USf:OF BUILOING <br /> Retail I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEOALDESCRiPTIONOFPROPERTY�SHOW�ELOWnRATTAGMFOUt1COFIL'S) CGRRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> lOT_pLGCK _ OF GOVERNING THIS TYPE OF WORK WILL @E COMPLIEG WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PqESUME ?O GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY Q�HEF <br /> -ATE OR LO LAW EGULATING CONSTRUCTION OR <br /> TH ERFORM NCE OFG NSTRUCTION. <br /> JOB AOORESS SIGN{'T E OF CONT ACiOfl.A p{Ip IZE�/GENT,OR OWNFR DqTE <br /> 4935 Evergreen Way X I Iv 3 <br /> f <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXT:IRE OR ITEM FEE NO. TYPE OF EpUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—A/HNDLG UNITS—H,P. <br /> BATHTUB flEFRIGERATION UNITS—H.P.EA. <br /> LAVATORV(WASH dA51N) BOILERS—B.T.U./H.P. <br /> SHOW ER GAS FIqED A.C.UNITS—B.T.U. <br /> HITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLfiEATEFS—B.T.U. M <br /> LAUNDRYTRAY UNI7HEATERS—B.T.U. M <br /> GLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHEnDF':ERS <br /> DRINKING FOUNTAIH VENTIIJ,TION FAN <br /> FLOOR DRAIN RkNGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> flOOF ORAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BHR,ETC.) iv1ETAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUB <br /> PERMIT S PEqMIT <br /> 1 TOTALFEE S TOTA <br /> FVAr+T SETBnCK FEAR SETcnCK SioE SEionCK PLAN CHECK NUMBER FFF� ; .AEGEIPT NO. <br /> Y D W <br /> MECH t 1.50 <br /> USEZUNE LOTAPEA yqCANi51TE <br /> ❑VES ❑No FEES TION FEE <br /> TVPEOFCOhST. OCCUPANCYGPOUP NOAFOWELLINGUNITS BUILDING S <br /> PLUMBING 1S 00 <br /> S12E OF OLOG. NO.OF STORIES MA%.OLG.LOAD <br /> MECHANICAL 21 SO <br /> INVESTIGATION FEE Sec.304(e) <br /> FIRESPf71NKLERSRE0UIRED ❑VES ❑NO <br /> STATE DUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATIONACC.DY PLANSCNECKEDBY APPR FORISSUANf,EBV <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 36 50 <br /> PEflM1T VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PEfiMIT <br /> � <br /> Ln ' <br /> Ln <br /> � <br /> f.V <br /> AC.:�;Eii'� FILt <br />
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