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10605 4TH DR SE 2016-01-01 MF Import
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10605 4TH DR SE 2016-01-01 MF Import
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Last modified
4/10/2017 8:44:23 AM
Creation date
3/7/2017 11:48:32 PM
Metadata
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Template:
Address Document
Street Name
4TH DR SE
Street Number
10605
Imported From Microfiche
Yes
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,�.E�.,',�� � CO N STR � TI O N�� -`°"�" <br />CITY Oi O <br />everett PERMIT <br />TO BE: COMPLETE� IN BLACK INK — PLE�SE PRINT <br />BUILDING DEPT. <br />259-8745 ❑ COMBINATIUN ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />r on oESicrvE� <br />�O J)�c <br />mn�t q V V 111:J� <br />MCGI�ANIC�L CONIRAC1011 MAIL ADOHE55 GIiY plP PIION[ LI[p�SE • <br />PWMp19GGOHIRACIOR M�IIApORE55 GITV IIP pllONi �IC[N£E• <br />C1�5° I WORN <br />NEW ❑ ADDITIOIJ ❑ AITERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FFPL.INSERT ❑ BUILDING RLLOCATION <br />vnt uqtiai or W onrc �CoSt or MMUUn15 rlus uoom <br />,,:,���� <br />iu�n� m.sr,niruoHorrn <br />l (J I� OLQG�__ <br />T� <br />vno�cc�aum�Ess <br />�o�0 5 �r�- D�-s�� • <br />PLUMB�INO <br />NO. 1 TYPE OF FIXTIIPE ccc <br />fLOOR OfiAIN <br />� <br />�d✓`(� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED TFIIS AP� <br />PLICATIONAND KNOW TNE SAME TO BE 1HUEANDCOI7R[CT. ALL <br />F"qOVISION50F LAWSAND ORDINANCESGOVERNING 7HISTYf'E <br />UF WORK WILL BE COMPLETED WITIi WIi[TI1EF7 SPECIFILD I IERE- <br />IN OR NOT. TIiE GRANTING OF A PEFiMIT DOES NOT PRESUM1IE 1 O <br />GIV'c AUTHORITY TO VIOLA7E OR CANCEI TFiE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RFGULATWG CONSTRUCI ION <br />OR THE PERFORMANCE OF CONSTRUCi{ON. <br />SIGNATURL�����AUl�il�(i[NI' /Ii/ <br />%� <br />�/l � .� / <br />�� � S�G _ <br />FPPLICRNiSCIIY0U5iN[SSLILENSEN � <br />C � L� �� l� � <br />P. <br />M <br />roTnLFEE fl 7�'�lwl I TOTALFEE S1 <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />HlAll•.CIp�CK SIOESEI9ACN PlAbC11ECKNUMOEP PINIf.11CCN1lF <br />20' '�a 4r' ` <br />Fr �� ��QQ �EE /� ncccirrr�u <br />"�_ <br />lOi MIG yACRNT SItE <br />�� � FEES V�LU�TION f[[ <br />nM`IICA110114CC OV <br />�� <br />No OF SIORI[5 <br />I <br />7ED fJ VGS <br />VUNS GIICCMFL <br />-,, <br />�- <br />5 ON. <br />NO. Of OWELLINO UNIIS <br />' <br />MRK OCC. LOAD <br />fOR ISSl1RY':E OY <br />Lc. <br />9UILDING <br />VW6IBINQ <br />b1ECHANICAL <br />o�NER <br />PENALTV <br />TOTAL <br />0 <br />
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