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3313 LOMBARD AVE COMPASS HEALTH 2016-01-01 MF Import
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3313 LOMBARD AVE COMPASS HEALTH 2016-01-01 MF Import
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Last modified
2/17/2017 8:12:16 PM
Creation date
2/17/2017 8:12:10 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
3313
Tenant Name
COMPASS HEALTH
Imported From Microfiche
Yes
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the Evergreen ��N STR U CT1 O N "� "� <br /> CITY OF <br /> everett PERMIT PERMIT NO. 21 `��2 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHAtiICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MRILADDPE55 � CITY 21P PHONE <br /> Bethany Home 3322 Broadway Everett 98201 <br /> ARCHITECTORpESIGNER MAILADDRESS pTY ZIP PNONE <br /> Gary Parkinson <br /> GENERALCONTRACTOR M/IL500RE55 CITY ZIP PHONE LICENSEM <br /> Heritage Const. <br /> M1:ECHANICALCONiRAGTOR MAILADDRE55 CITY ZIP PHONE LICENSEx <br /> Rock Island Sheet Metal 17907 Bothell Way Se Bo�hell 98012 981-6768 ROCKIS�I150RR <br /> PWMBINGCONTRFGTOR MRILA��RE55 CITY ZIV PHONE LICENSE+ <br /> CLA55OF WOPN <br /> ❑ NEW ❑ ADDITION C�ALTERATION ❑ REPAIR ❑ DEhiOLIT10N ❑ BUILDING AELOCATION <br /> V�LUATION OF WORK <br /> $ <br /> DESCRIpE WORK <br /> Install 3 vent fans <br /> HEATsOURCE <br /> � ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PRO^OSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS <br /> Apts. APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPERTYISIIOW6ELOWORATiACMFOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GO'J�ANING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT��LOGK _ OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> _ VIOLATE �R� CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE llOCAL LAW REGULATING CONSTRUCTION OR <br /> THE P F (MANCE OF C STRU TION. <br /> JOBAD�RE55 SIGNAT RE OF NTRAy�,rpB pUT O IZ .OF OIVNER �AT /�' <br /> 88 3313 Lombard X �[ � "`" c�'t /�' 3�/`�� <br /> PLUMBING MECHA'NICAL _ <br /> NO. TVPE OF FIXI'URE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/HNDLG UNITS—H.P. <br /> 6ATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORV(WASH BASW) BOILERS—B T.UJHP. <br /> SHOWER GAS FIRED A�C.UNITS—B.T.U. <br /> KITCHEN SINK 8 OISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATEHS—BTL. M <br /> LAUN�RV TRAV UNIT HEATERS—B.T U. M <br /> CLOTHES WASHER EVAPORATIVECOOLEflS <br /> URINAL CLOTHESDRYEqS <br /> DRINKING FOUNTAIN 3 VENTILATIOIJ FAN ZB SO <br /> FLOOfl DRAIN RANGE HOOD _ <br /> BACNFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS—RAINLEA!',EF75 WOOD STOVE _ <br /> SIMX(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> NEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUB TOTAL S SUB TOTAI ].3 SO <br /> PEFMIT S PEHMIT LS OO <br /> TOTALFEE 5 TO l�ee 9�Oc OOOAH39 '��k��K <br /> FRONTSETBFCN nEnRSEronCrc 5iDE5EiBnCK P�ANCHECKNUMBER FEE RECEIPTNO. <br /> N00021422 <br /> � <br /> USE20NE LOTAfiEA VFCANT511E TION � FEE <br /> ❑res ❑r�o FEES <br /> 1YPEOFGONST. OCCUGANCVGPOUP Y.O.OFOWELLINGUNRS BUILDING S <br /> PLUMBING <br /> SIZEOFBLDG. NO.OFSTORIES n+nx.occ �ono 28 50 <br /> MECHANICAL <br /> INVES7IGATION FEE Sec.304(e) <br /> FIRE SPRINKLERS REOUIRED ❑VES ❑NO �TATE BUILDING SURCHARGE <br /> STATEENERGYSURCHAFGE <br /> APPLIC/TION ACG �V PLANS CNECNEO OY APPR FOR ISSUANLE OY <br /> ORIVEWAVPERMIT <br /> TOTAL <br /> S.H. <br /> PERMIT VALIOATION <br /> WHEN PPOPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PEFMIT �' <br /> N <br /> cy- <br /> � <br /> N <br /> n_.�,.. .,.. ., <br />
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