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1114 PACIFIC AVE 2018-01-01 MF Import
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1114 PACIFIC AVE 2018-01-01 MF Import
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Last modified
12/14/2018 11:20:58 AM
Creation date
2/25/2017 5:17:58 AM
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Address Document
Street Name
PACIFIC AVE
Street Number
1114
Imported From Microfiche
Yes
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`':`.` ,�."`c" ^,p N ST RU CTIO I�' <br /> everett pER�AIT PERMIT NO. 137a1 <br /> CITY MALL 259A7a5 � <br /> EVEREiT.WABb201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br /> OWNER MAIL ADDFE55 <br /> CITr ZiP orONE <br /> Providence Hospital 916 Pacific Everett 98201 _ <br /> ppGMiTECT OR DESIGHER <br /> NA�L/OORE55 CITY ZIP PMONE <br /> GENERALCANTFRGTOF <br /> MPR ADDFE55 LITY ZiV FMONE LICENSE/ <br /> MECMRNIGALCONTRAGTOA <br /> MPIL APORE59 CITY 21P CNONE LiCENSE� <br /> FWMBING GONiR�CTOR <br /> MAIL ADDRE55 LITV ZIP PHONE LICENSE� <br /> Glantz Supply Znc. 3332 Cedar Everett 98201 252-244 <br /> GLR55 OF WORK <br /> ❑NEW ❑ ADDITIUN ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ �'�'OOD STO�EIFIREPLACE INSE7 <br /> VPLWTION OP WOAK <br /> S <br /> OESGRIBE WORN <br /> PPOPOS[D USEOF BUIID�NG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRI>i'ON OF PROPERTY ISHON'BEIOW OR ATiAGM FOURGOPIES� CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WnRK WILL 8[ COMPL�ED WITH <br /> �oT_e�ocn_oF WHETHER SPECIFIED HEREIN JR NO"�.TNE GRANTING OF A <br /> PERMIT DOES NOT PRESUMF.TO GIVE AUTHORI7Y TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONoTRUCTION. pet� <br /> JOB�DDPESS SIGNATURL OF CONTRPCTOP OR RUTMDHIZE�RGENI 8 8 $4 <br /> 1114 Pacific X Check #67334 � � <br /> MECMANICAL <br /> PLUMEIN6 FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> 1 WA7ERCLOSETIT0ILE� _ AIR COND. UNITS — MP. EA. <br /> — REFRIGERFTION UNITS— M.P. EA <br /> gpTNTUB <br /> LAVATORVIWASH BASIN) BOILEFS — H.P. EA. <br /> 1 SMOWER 2 OO GAS FIRE�A C.UNITS— TONNAGE EA. __ <br /> KITCNEN SINK B DISP. FORCEO Aiq SVSTEMS— B.T.U. M iA. I <br /> WALI HEATERS— B.T.U. M <br /> DISNWASHEP — <br /> UNIT IIEATERS— BT.U. M — <br /> LAUNORYTRAV <br /> - EVAPORaTIVE COOLERS <br /> CIOTHES WASMER CLOTHES DRYERS _.. . <br /> WATER MEATER <br /> — � VENTILATION FAN <br /> URINAL <br /> ORINKING FOUNTAIN RANGE HOOD <br /> AIR HANDL�NG UNIi — C.F.M. � <br /> FLOOR DRAIN '— <br /> VACUUM BREAKERS STOVE — WOOD H <br /> ROOF DRAINS— �hINLEADERS <br /> METAL FIREPLACE 8 CHIMNEY �x'� <br /> SINK ISERVICE — BAA.ETCJ FIREPLACE INSERi <br /> NEAT PUMP <br /> H F <br /> H '-' <br /> SUB TOiAL f Q OO SUB TOTAL _ S _ �-q � <br /> — PERMIT f 3 00 <br /> PERMIT Y I � � <br /> � TOTAL FEE S � OO TOT�I FEE f S� <br /> PLAN CMECK FEE r� � <br /> � SIDE YARD SETBACK STREET SETEACK REAR VARD SETBACK PLAN GHECK NUMBER FEE I RECEIPT NO. "� � <br /> 6 � <br /> I USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE � F <br /> ' VES . .NO -- - <br /> TYPE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UNITS — <br /> BUILDING s _ � ` <br /> I SIZE OF BLOG. NO.OF STORIES N�A%. OCG LOAD pLUMBING � OO y t; <br /> _ K <br /> RREZONE BASEMENT FIRE SPRINKLERS MECHANICAI � ; <br /> RcOUIFED <br /> VES NO y ' <br /> APPROVALS ___ BY DATE OTHER UBD. � <br /> t. ENVIRONMENTAL CHECK U5T PENALTY SEC.3031e1 8 <br /> 2.BUILDINGPLANS _ TpTA� � OO (�J j <br /> 3 FlRENYDRANT � � <br /> a F6IEPROTECTIONSYSTEM PERMIT�ALIDATION <br /> WHEN PROPERLV VALIDATEO ON T�115,3PAGE1 T4i5 IS�Q�?��MIT � <br /> 5.GRADING . ` . � <br /> 6.DRAINAGE � <br /> ,-.� <br /> 7.ENVINONMENTAUMPACT STATEMENi <br /> � <br /> 8 HEALTH DISTRICT � • ��' I � <br /> qPPLICATION ACC. BY PLANS CHECKED BV APPP. FOR ISSUANCE BY � <br /> ?.D6�'I.GS F��I_ <br />
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