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6808 OLYMPIC DR 2016-01-01 MF Import
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6808 OLYMPIC DR 2016-01-01 MF Import
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Last modified
2/25/2017 4:14:23 AM
Creation date
2/25/2017 4:13:56 AM
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Template:
Address Document
Street Name
OLYMPIC DR
Street Number
6808
Imported From Microfiche
Yes
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,�.E�ro�,� ;-.PPLICATION FO�.' ���,�n <br /> diYOF CONSTRUCTION <br /> everett PERMIT � <br /> BUILDING DEPARTMENI <br /> 259-87a5 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATIO�N ❑ BUILDINQ ❑ MECHANICAL ❑ PLUMBINp O SION <br /> �OW R M�IL�DDRE99 GIY -�P P�IONE <br /> �i1ii�E�Y7L ���p.� /,F/.�� �/�.�.r���r �de�:G� ;a.�'cri :� S.3--3d!5— <br /> � GNITECTORDESONER MMLTiDO E99 Cltt bD VHONE <br /> GENER�LCONiRACTOR M�IL�DOPESS CItY IIP PMONE LICENSE• <br /> b��'��.i� <br /> MEGH�NIC�LCONiR�GTOq MMLADORE99 CIfY ilP pHpNE �ICENSE• <br /> VLUMSIHOCONTR�Cf011 M111L�OORE99 LITV IIP PI�ONE IICENSE• <br /> GUSHOf WORK — <br /> ❑ NEW ❑ ADDIiION ❑ AITERATION � REPAIR ❑ DEMOLITION ❑ WOOD9TOVE/FRPL.INSERT ❑ BUIlDINO RELOCRTION <br /> V�LU�TION OF WOHR�COST OF M�TEIll�l9 VLV!UBOM <br /> •� 5�3 Cd � <br /> DE)qC,�RiBE WOPN � � � r <br /> J � �� CJ(Ji �/L J � � � '�/ <br /> C�Si Yt07�- � s�! <br /> u�ov wioy,o � _ � � � <br /> q � � I � I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS AP• <br /> � -i'�ITlI� G : �II�,(� I_l�F�� PUCATIONANDKNOWTHE3AMETOAETRUEANDCORRECT.ALL <br /> lEO�LDE RIP IONO�P OPEH1Y19MU ne �� iTl1LNFOURCOPI � pROVISION30FLAWSANDORDINANCE300VEFNINOTHISTVPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER BPECIFIEO HERE• <br /> �or_e�oc�—or IN OR NOT.THE ORANTINO OF A PERMIT DOES NOi PRESUME TO <br /> QIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> AN V OTHER STA1E OR LOCAL LAW REGULATINO CONSTRUCTION <br /> OR THE PERFOqMANCE OF CONSTRUCTION. <br /> SION�NflEOFCONTRACTOROR�UTHORI2EDA0ENT DATE <br /> � �-----�� <br /> - �,�,.� �y�-.> � /�, <br /> P1qJECTl1DORE!! �V ll N�9GI BUSINE!!Lt ENSENO. <br /> �n�� 1d�1� Y, , ,�," <br /> �LUM�INO M[CNIINIC�L <br /> NO. TYPE OF FIl(TURE FEE N0. TYPE OF EOUIPMENT FEE _ <br /> WATER CLOSET TQILETI AIR COND.UNITS—H.P.EA. <br /> BIITMTUB AEFRIOER�TION UNITS—H.P.EA <br /> LAVATORY�WA9H d�SINI 'JILERS•H.R EA. <br /> SHOWER 6�S FIRED AC UNITS—TONNAOE EA <br /> KITCHEN 91NK!�ISP. . FORCED AIq 31'9TEMS—B.T.U. M EA. <br /> DI9HW�SNER W�LLHEATER9—B.T.U. M <br /> LRUNORVTRAV UNITHEATER9—B.T.U. M <br /> CLOTNES W�9HER EVIIPOR�TIVE COOLER9 <br /> W�iER HE�TER CIOTHE9 DRVERS _ <br /> URINAI �ENTILAIION FAN , <br /> DRINNiNO FOUNTAIN RANOE HO00 <br /> FLOOR ORAIN AIR HANDLINO UNIT— C.F.M. <br /> V�CUUM BREAKEFS STOVE <br /> ROOF�RAINS—R�INLEADERS METAL FIREPIACE 8 CHIMNEY <br /> SINK�SEPVIGE—BAR,FTC. WOODSTOVE/FIREPLACE INSERT <br /> 8UB TOT�I SUB TOT�L • <br /> PERMIT f PERMIT � , <br /> TOTALFEE • TOTALFrE • <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �RONIgETB�CR RE�RSEIB�CN SIDESETB�CN PL�NCHECkNUMBER PL�NCNECNiEE <br /> FEE pECE1PT NO. <br /> USE IONE l01�OER y�C�NT SItE <br /> OVES ONO iEE! V111U�T10N FEE <br /> TYVEOFCONST. OCCUP�NCYGHOUP NO.OFOWELlIN0UN1T9 �� f � <br /> BUILDINO f � � � /� 1 <br /> 512E Of BLDO NO Oi STORIE9 • M�%.OLC.10�D Sd� <br /> PLUMBINO <br /> MEGNANIC�� <br /> FIRE SPFINKLERS REOUIRED O VES O NO <br /> OTHER <br /> PCN�LTV <br /> �PPL�GLON�CC BY PL�NS CHECNEO BV �PFR.FOR ISSV�NCE BY <br /> � � TOTAL ` � . <br /> �� � 7?, v�) <br />
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