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3020 RUCKER AVE SNO CO HEALTH DISTRICT 2018-01-01 MF Import
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3020 RUCKER AVE SNO CO HEALTH DISTRICT 2018-01-01 MF Import
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Last modified
8/6/2019 12:14:36 PM
Creation date
3/8/2017 10:37:55 PM
Metadata
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Template:
Address Document
Street Name
RUCKER AVE
Street Number
3020
Tenant Name
SNO CO HEALTH DISTRICT
Imported From Microfiche
Yes
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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> cm oF�nerr•euwow+c�omsaN <br /> 9200 CEDAR STREET•EVERETT,WABB201•254BB10 <br /> ❑ pEMpLIT1pN ❑ COMBR/ATION �BUII.ONIO ❑ MEd1ANICAL ❑ PLUIMMW ❑ t10M <br /> PROJECTADDRESS: OZ �� '�'�^ � <br /> < <,/ - os.��� S -.�m �'� Lr�l ..9�zoi aas-s:it <br /> ` rwi�ooR6f plv » �dt <br /> l <br /> 1FNM/rt� /� YM1M101�41 fJ�Y !V '1I}4 <br /> � / /"��i✓n. �...lf. SBto/ �.SZ^?/S3 <br /> ^ .cc'rf wvoxE� �uaicaass an ru� naie <br /> SM� <br /> UFK�4CONiNL1IA MM�LV�f55 CI�Y TI' PIS4 T��iElR4Mf• <br /> .,yrm�� i <br /> ut cwm.ciw uu�oon[ss nrv to nut au'Eut[MSF. <br /> PlIMN6COMiMKf011 YM/.WIE55 qfY N P1C�1F SIAIEIIRMl�• <br /> COM�MCI MICE Of M0�1R � � �� <br /> HEATING SYSTEM: GAS ELECTRIC ❑ <br /> oescwxwdwuasowncrw�w[ r[o cwucrrcmwuannrtro <br /> �'/ �' ,(,.,, 339'.b7/S'�nr+� 1as� <br /> I NEREBY CERTIFY TIIAT I M�VE HEAO ANO EXMIINEO TMIS <br /> APPLICATION AND KNOW THE BAME TO BE 7RUE NA CORRECT ALL <br /> raorosEo u§E a su�n..a PppVI510NS OF LAWS AND OROIH�NCES GOVE WNN6 TWS TYPE OF <br /> U � WOpK WILL BE COMPLIEO WITH YNIEMER SPEpflED MEREIN ON <br /> itaupcscwvrq�pr nipdmetiowa�n�cH�r.ota+csi NpT. THE ORANTINO OF A PERMIT OOES NOT PNESUME TO OIYE <br /> ior xw a �U7HORItt 70 VIOL�TE OR CM7CEL THE PROVIBION OF ANY <br /> OTHER STATE OR LOGK LAW REOUlATR10 CONSTRUCTqN OR tNE <br /> PERFORMANCE OF CONSTRIICi�ON.TNAT 1 W AUf110PQE0 BY TIIE <br /> OWNEN OF TNIS PROPENTY TU PERFOIMI T/IE WqIK FLN WNICN <br /> APPLIG�TION IS MAOE ANU 1 L041PLV WITN iHE 6T�TE <br /> nwc[i fu i o.�n CONTHACTORS l�W IE27 RCW AND 20E.IOC WAC. <br /> COMS�AKIIONIO.wIFMFR.I�pGPff3.1ElEN1d4MMFR Z / ���1� � .9Y <br /> SqN�IWF WTF <br /> QIiN19NE55lCEMCM <br /> p��ypnq MECHANICAL <br /> NO. TYPE OF FlIfTUIIf OR REY FEE NO. ME OI fOIM�lM FEE <br /> WATER QOSET(TOREn NC—AMNDLO UNR9 <br /> g�7png FCRCED AR SYSTEMS <br /> IAVATORY(WASN BAS�N) NE�T PUMP <br /> g�qyy�p VNIT NE�TERS <br /> KITCHEN SINN�DISP CLOTIIES URYERS <br /> OISMWASMEP RAN�E tV000 <br /> UUNDRY TRAY WATER NEATER <br /> CLOTNES W�SHER W��ST� <br /> UR�N�L METAL FIREPUCE(VIOOD BURNM6) <br /> DRINI(IN6 FOUNTAIN FI'1EPUCE INSEflT(WOOD BURNNO) <br /> FIOOR DRAIN G0.5 FIREPIACE <br /> BACNFLOW PRFVENTERS C.�S RANGE <br /> &NK(SERVICE—BAR,ETC.) GAS PIPIHG <br /> E%NAUST FAN <br /> SUOTOTAL f SU870TK { <br /> PERMIT f PERMIi f <br /> TOTAL FEE f iOTAL FEE f <br /> FOR OFFICE USE ONLY: _ <br /> rnorlru�n�ek nEu+e[*erta srotse�e+e+ nu.nrte.ruunrn rEr �,( �rr�rira <br /> � 7 '�F° <br /> us[rou[ io���rr. v�v.H�y�r FEES TV11L�U11TON FEE �! <br /> OYES ❑NU �U�Mxf. S�✓ O» 2 O�J� <br /> 11[q11�1141��11ON �110fUWElUM6 $IIEWM I <br /> 3L�� I n�iumm� <br /> occuo.xcr xonsim[s «cw.+�io•o s�.vucH� utc�ur.cu <br /> c�r � <br /> T� J �.J�J ❑r6 <br /> wu�rtN.�nwortu ��'j3 '9� <br /> f�NESPPWRI[NP[09 �FI.iONL� 1 — <br /> ���� S S.✓SI (l. OtICn <br /> 1111LNMM'.[pD MF�VW , l <br /> V� i cX:y. S�11FlUppN(i$IMCIUIIII[ - -�j// <br /> 1. �- <br /> rrrtar.or1s� n�Ms v[oer CITYOFEVERETT riiwr.wm+� ; <br /> 1r — I �2 o.�E �M�j'�� TAX CODE S`J OS TOT�L <br /> �3� <br />
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