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3812 28TH PL NE 2016-01-01 MF Import
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3812 28TH PL NE 2016-01-01 MF Import
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Last modified
4/21/2017 4:23:29 PM
Creation date
4/1/2017 2:31:06 PM
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Address Document
Street Name
28TH PL NE
Street Number
3812
Imported From Microfiche
Yes
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� .�. . i.�..:..� � , � <br />,, �:� -- COIOISTRU�TIQ � 1 <br />everett � <br />CITYHALL25}8745 PERMIT PERMIT NO. � 4725 <br />EVERETT, VJA oezoi � COMBINATION � BUILDING G MECHANICAL ❑ PLUMi�ING i <br />OWNER MAILA��RE55 CITY ZIP PMONE <br />DYNAMIC SI,N COMpANY Box 1480 Bellinaham WA 671-4020 <br />ARCMITECi OP DESIGNER M�IL ADOPE55 CITY 21P PMONE <br />GENERAL CONTRACTOR M+IL AG�RESS CITY ZIP PMONE LICENSE X <br />Same <br />MECMANICAL WNTRACTOR MAIL ADDRE55 CIiY 21P PHONE LICENSE Y <br />PLUMBING WNTRACTGfl MAIL ADDRE55 CITY ZIP FMONE LICENSE N <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REpAIR ❑ UEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />f692.00 <br />Non illuminated <br />Commercial <br />LOT _ BLOCN _OF <br />3812 - 2Sth PL NE (SE corner) <br />PLUMBING <br />N0. TYPE OF FU(TU <br />WATERCLOSET�TOILEn <br />BATHTUB <br />LAVA70RY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />LAUNDFYTRAY <br />` CLOTHES WASHER <br />� WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FL70R DRAIN <br />VACLIUM BREAKERS <br />ROOF DRAINS — RAINLEAOEflS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEqMIT <br />TOTAL FEE <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION S'lSTEM <br />5. GRAOING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />ITEM I FEE <br />f <br />S <br />S <br />'.-.YES GNO <br />MAX.00G LOAD <br />REOUIRED <br />::VES !::NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE CJMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF STRUCTION. <br />SiGNATURE OF CONTRA AUTHORIZED AGENT OATE <br />X � ' <br />� nH�ioc <br />MECHANICAL /�'19Ti <br />N0. TYPE OF E�UIP <br />AIR COtJD. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FItiED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEA7ERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M, <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLhCEINSERT <br />HEAT PUMP <br />SI�B TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />< NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />�AECHANICAL <br />OTHER <br />PENALTY <br />5 <br />U.B.C. <br />SEC.90J <br />PECEIPT NO. <br />FEE <br />TOTAI 16 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YO F� PERMIT � <br />r, - —N <br />� <br />_ �' <br />BY APPR. POR ISSUANCE BY �• �� <br />ADDFESS FILE <br />
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