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418 E MAGNOLIA AVE 2016-01-01 MF Import
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418 E MAGNOLIA AVE 2016-01-01 MF Import
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Last modified
2/17/2017 2:54:38 PM
Creation date
2/17/2017 2:54:32 PM
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Address Document
Street Name
E MAGNOLIA AVE
Street Number
418
Imported From Microfiche
Yes
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rn.E..ro,«� CO�I STR C TI O N <br /> an ov <br /> evercn <br /> everett PE�MIT e <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IM INK- PLEASE PRINT <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> O ER /� MAILADDRE55 I1Y �� Zm�+ PMONE ^ <br /> /���.L/AL���DOPCS�n/�.LI� �I'tQ�GC� 2i7(/�U� PnONE J S 3� I Sy (1 <br /> •PCMIIECi p90 IGNER <br /> ✓ <br /> GENENAIGONiRHGfOH Mq��DOPE55 CITY ZIP PNONE LiCENSE• <br /> MtCHANIG0.CONiMLTOq MAIL��OPE55 CIiY ZIP PHONE LI�EN�E• <br /> PI.UM91N6GONIPALfOfl IAAILADDRE55 CItY ZIP PIIONE ULENSE• <br /> CI.�SS OF W01'K <br /> ❑ NEW �ADDITION ❑ ALTERATION ❑ REPAI(i ❑ DEMOLITION ❑ WOODSTOVE/FfiPL.IN5EFi1 ❑ BL'ILDING RELOCA71pN <br /> f ' <br /> VAW�IiON ON�WDRN�WSt OF MAiE'^�^�LS PLUS LABO <br /> �/� �.l��� � <br /> OESCRI�E WONK <br /> USE�Of�BUI ING tr~ �T� / �� r <br /> ���� �/�� I HE EBY CERTIFY THAT I HAVE R-AD AND �RAMINED THIS AP• <br /> PIICATIONAND KNOW TI�IE SAMETO BE TRUE ANDCORRECT.ALL <br /> LE6ALOESGRIPIIONOFPRO'EPl SHOWNBEIOWON�ITACNFOURCOPIEEI <br /> � PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br /> wrs2E�e�oc�or__� I OFWORKWILLBECOMPLETEDWITHWHETH@RSPECIFIEDHEFE <br /> IN OR NOT.THE GRANTING OF A PERMITDOES NOT PRESUME 1�0 <br /> G�VE AUTHOFITY TO VfOLATE OF CANCEL THE PROVISIONS OF <br /> ANY OTHER STAS-E OR LOCAL LAW REGULATING CONSTqUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIONATUREOFCONiflrICTOaORAUTNORIZEDAGENi UAiE <br /> X • - �' 6 <br /> PNOJECi�pDHE55 RPPLILRNTSCItY8U51NE �LICENSENO <br /> 8 <br /> PLl1MBIN MECHANICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF ECUIPMENT FEE <br /> WA7ERCLOSET�TOILEn AIRCOND.UNITS-M.P.EA. <br /> BATHTUB REFRIGERATION UNITS-H.P.EA. <br /> LAVATORVIWASH BASINj 6JIlERS-H.P,EA. <br /> SHOWEH GAS FIRE�AC.UNITS-TONNAGE EA <br /> _ KITCHEN SINKB DISP. __ FORCED AIR SYSTEMS-B.T.U. M EA. <br /> DISHWASHER WALLHEATERS-6.T.U. M <br /> LAUNDRVTRAV _ UNITHEATERS-B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOI.ERS <br /> WATER HEATER CLOTHES�RYER� <br /> _ URINAL VENTII.ATION FAN <br /> ORINKINO FOIINTAIN RANGE HOOD <br /> FLOOfl DRAiN AIR HRNDLING UNIi- QP.M. <br /> VACUUM BHEAKERS STOVE <br /> ROOF DRAINS-HAINLEADERS METAL FI.7EPLACE 8 CHIMNEV <br /> SINK�SERVICE-BAR,ETC. WOOOSTOYE/FIREPLACEINSERT <br /> SU9 70TpL GUBTOTAL 3 <br /> PEItMIT f PEqMiT S <br /> _ TOTALFEE � TOTALFEE 3 I <br /> � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL � <br /> FpON:SEIORCN qEAN5E10ACK SIpE5ET9ACN PLANGNECNNUM6E8 PLqNCREOnFEE � <br /> , �r I � , �� i <br /> X/_�/ _�� '] FEE /�� REGSIP�Np�" <br /> USE ZONE l0i plG V�c� •� •.� .J G <br /> VRCAN/SIfE FEES VRLUATION FEE <br /> �- �YES O <br /> iYFEOFCONSC OCCUPANCYGPOUP NQOFpWELlINOUNIiS <br /> U�� r� I BUIL�ING ,5��cj� v`V <� � <br /> SIZE OF p�DG NOAF Si0fl�L9 M�K OLG LOAO 1 <br /> I(��Ya��An/�nl � rwMemc <br /> MECNANICAL <br /> FIFE SPRINKLERS REOUIRED O VES ❑NO <br /> OTNER <br /> PENALTY <br /> nPPUCR110NACC BY FLANSCHECNEDBY APPR.FORISSUANCEBY <br /> ` �—� v� T TI1L � L"7� <br /> V v�-� <br /> 2CP,33 DuL �,c/ �,�G' <br /> G,�!(� <br />
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