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3211 SMITH AVE 2016-01-01 MF Import
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3211 SMITH AVE 2016-01-01 MF Import
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Last modified
3/9/2017 9:39:26 PM
Creation date
3/9/2017 9:39:18 PM
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Address Document
Street Name
SMITH AVE
Street Number
3211
Imported From Microfiche
Yes
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,�.E,.,p,,,� �PLICATION FOR'� �Vef�„ <br /> ��TM�F CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259�a�45 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> owrrtn M•a�ooncss em ziv r��orie — <br /> !1't�AY IIE.4TiN(: CO. , IHC, 3211 SPfITII CVEItETT 4!A. 96201 ?59-7.12IS <br /> encrurcc�oaoesicnen M�aeoonEss eirv zir rr�orve <br /> utNeu�iconiaecion M�aeooness em zia mwr+e uc[Hse• <br /> A`'CC �nNSTRUCTIot�, iN:;. 657.5 6EVERLY BLVb., EVGRCTT. WA, 98?03 353-6427 AY-C�:-CI-*7-25N� <br /> MELIUNiGLCONIneCtOq M�IL�OOPE33 CITV ZiP PnONE I�CENSE• <br /> PLUMBWGCONIPACfOR MAL�ODRE55 Glrv ZIP PI1011E ULENSE• <br /> C1�550!WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTEFATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVC/FRPL.INSERT ❑ BUILDING RELOCA7ION <br /> V�LUMIUN Of W 011K�CO51 Of MAI[BI�L$PLOS U90R1 <br /> OESCftOf. YORK <br /> IHSTAI.LATIot7 OC nPPICE TItAILBR A1.ONCSIUE GXLSTINr, BUILDINr, AT 3211 SMIT11 ST., GVERETT, tJA. <br /> usEorew�oino . I HEREBY CERTIFY TIIAT I HAVE READ AND EXAMINED TNIS AP• <br /> OFPIf,E 6UILI7tt7G PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALI <br /> l[O�l0E5CRICIIONOFPRO�ENIY�SNOWNO[LOWONRiTALNFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WOFK WILlBECOMPLETED WITH WHETHER SPECIFieD HERE• <br /> ior �+e�oc�or ��'�� IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLAIE OR CANCEL THE PROVISIONS OF <br /> V-14/5(� 27C ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIQNATUREOFCONiRACTORORRtIT1/ORIZEOAGENT ORTE �_14-86 <br /> X AYER CUNSTRUCTIQN N , <br /> obert Y. Aver �N ,'f C. �/ <br /> PPOJEGi�DDfiE55 AFPLICRNTSCIfY BUSME55 LIGENSE N <br /> 37.11 Smltli St. L'vcretc 9a. 987.01 007569 <br /> PLUMBINO MECHANICAL <br /> N0. tYPE OF FINTURE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILEn A�R COND.UNITS-H.P.EA. <br /> BAiHTUB REFRIGERATION UNITS-N.P.EA. �_ <br /> LAVATORV�WASH BASIN� �OILERS-H.P.En. __ _ <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA <br /> KITCMEN SINK 6 DISP. FORCED AIR SYSTEMS-B.T.U. M EA. <br /> OISHWASNER WALLHEATERS-O.T.U. M <br /> LAUNDRYTRAY UNITHEATERS-B.T.U. M <br /> CLOTHES WASNER EVAPORATIV[COOLERS <br /> WATEfiNEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOl1NTAIN RANGE NOOD <br /> FlOOii DRAIN AIR HANDLING UNIT- CF.M. _ <br /> VACUUM 6REAKERS S�OVE <br /> ROOF DRAINS-RAINLEAOER$ �dE7AL FIREFLACE 8 CHIMNEV <br /> SINH�SERVICE-BAR,ETC. WOO�STOVE/FIREPL�CE INS[RT <br /> SUB fOTAL SUBTOTAL f <br /> PERM�T S PEPMIT f <br /> TOTAIFEE 3 TOTALFEE f <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fRONI5Ef0�CR RBRq5Et0ACN SIpE5E1BACN PUNGN CNNIIMUER �LqNC11ECNfCE <br /> d!� /�°ll(o� re[ s � neco Lr+prs� <br /> USE IONE LOf�PGn ypC�NT Sli[ 3d <br /> OYES ONO FEES V�LU�TION iEE <br /> IY�EO�[ONSi. OCCUPANCYG1i0UF NO.OFOWELLINOU'lli9 <br /> BUILDING S ��f� � �a �� <br /> SIZE OI O100 HO Of StOtitES M�K OCQ LOA� <br /> PLUMBING <br /> MECIIANILA� <br /> FIRE SPRINHLERS REOUIRED ❑ VES ❑NO <br /> OTHER <br /> PENAITY <br /> �PPUL�110NACCBY Fl�NSCMEGNE08Y �PP0.FONISSU�NGEBY —�l— <br /> TOT�L �� SV <br /> �. .(�� � , L <br />
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