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10511 19TH AVE SE CASCADE REHAB 2016-01-01 MF Import
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10511 19TH AVE SE CASCADE REHAB 2016-01-01 MF Import
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Last modified
4/2/2017 10:13:40 AM
Creation date
4/2/2017 10:13:36 AM
Metadata
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Address Document
Street Name
19TH AVE SE
Street Number
10511
Tenant Name
CASCADE REHAB
Imported From Microfiche
Yes
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APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CIN OF EVEFiETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION O BUILDING 61'MECMANICAL ❑ PLUMBIN6 ❑ SI�N <br /> PROJECTADDRESS: IOSII — I�I� �_;� �� <br /> ����� J <br /> pWN(p M4t�O�FE55 C�iY I�� pMOM[ <br /> crr�-�+x p�r�AP� <br /> tEqwr :�ui Mmrss cnv Pv ruobr <br /> •RCNTlLfpPpESiLNF�� M�illppn65 f,iry l�� P�KW! <br /> ���� <br /> GFeE��lC04�Nf.�fP M�M1�DIWF55 [nr ti� P�xnf 544u[fMSf� <br /> ��L�R6E� Srt'iCFE S4�c�C � t52-��Itj' EJgzL+�f�bZ�, - _ � <br /> MFCHINICIICOYI��f�IIP 4ul�f✓J�+FS$ (Ih )il' 1���0�.( CIItF11CFNGf� <br /> viiiuBMGCOma�r,lUn vnl�tMWE55 Q�r A�' —_� �'����F S��p�IKFbSf• <br /> corna•c�vmnurv.n�. �� ���� HEATINGSYSTEM: lP1"GAS ❑EIECTRIC ❑ �, <br /> CfSCRBF WJI1X��.11 i011�uf[QQ��GE Nvp1YCD [pll�tl lrl n5(]4 nMl frNH![�q �. <br /> �ry� P+S.S L'.�r�44 ZS2-31�'" <br /> F'"LEx 7�X.T � H�FAC,�rs � _ � <br /> I HEREBV CERTIFY THRT I MqVE READ �ND E%AMINED THIS <br /> RPPLILATION IWD NNOW THE SAME TO BE TRUE AND WPRECT A�L ' <br /> anorosro vxe or enim��.,:.y���.p `I�,p PROVISIONS OF LAWS AND OAOINANLES GOVERNING TNIS TYPE OF <br /> �;YS�C.AC- ITti'^W 1'wD WORN WiIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR � <br /> lfcuMscmnnor1w�uorEnrv6rqvminowonr.n4M�woton[5� NO7. TNE GRANTING OF A PENMIT DOES NOT PRESUME TO GIVE <br /> io� aiati o� pUiHPFITY TO VIOUTE OR CANCEL TME PPOVISION OF �NY <br /> OTNEF STATE OR LOCAL LAW RECaULATING CONSTRUCTION OH THE <br /> PEFFORMANLE OF CONSTRULTION TM4T I AM AUTHOFIZ20 BY THE <br /> OWNER OF TNIS PROPERTY TO PERFORM THE WORN FOR WHICH <br /> APPUCATION IS MADE AND I COMPIY WITH THE STATE <br /> wncauR�om F� CONTRPCTORStAWIP2]RGWANOP96200WAC <br /> � p5a- os3 ocn�� x� lo��9� <br /> CWSIRlK11fM110�N1IMlf11/.INYICSS I[l[I'MOMEH:_VRfll <br /> 'T.NMVPE � �C <br /> bIYlULN[SSl2fNSLNp <br /> iLUMBING MECH�NICAL <br /> tp, TYPE OF FlIRURE OH I7EM FEE N0. iYPE OF EOUIPMEM FEE <br /> WATERCLOSET�TOILET) �' NC—MINDLGUNRS <br /> BATMTUB 1 FORCEDAIRSYSTEMS <br /> LAVATORY(WASN BRSIN) HEAT PUMP <br /> SNOWER UNIT HEATEFS <br /> NITCNEN SINN 8�ISP CLOTHES DRYERS <br /> �ISH WASMER AANGE HOOD <br /> LAUNDRY TRAY W4TER HEATER <br /> LLOTHES WASHER YlOOD STOVE <br /> URIN�L METAL FIREPLACE�W000 BURNINGI <br /> ORINRING FOUNTAM FIP[PLACE INSEPT�yJOOD BURNING� <br /> FLOOH DRRIN GAS FIREPLACE <br /> BACNFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING _ <br /> E%HAUST FAN _J_ <br /> i <br /> $UB TOTAL f SUB TOTAL f O ' <br /> PEFMIT 5 PERMIT f <br /> TOTALFEE S TOTALFEE S <br /> FOF OFFICE USE ONLY: <br /> !R(1NISffp1(K Pl�flSfIP�CY $IMS�IS�CII �'IIVC��LCFNV4PlP fff nff(II'1N0 <br /> 1 <br /> us[rorr ioun¢• v.uv�sn[ FEES VALU�TION _ FE� <br /> ❑45 ❑�M) RtX�Mvl. <br /> MfIG���IMid�iOY NOOOwfIUMG 54EOrEla�l — <br /> I Ill�t V M 114P'.Nfr <br /> CCCIII��V:• u ��.i.ul LY".fl�l��rvll(1�[1 P�t(4(�1 4i11�1M1i1:�� . _. . .. . <br /> � � <br /> C.�OV� ' <br /> , ❑vE5 ❑NO ___ . . . .. .__ . .._..� . <br /> fINE5M1:11F1[flFC']�4 �I�VCN ' 1p�nll(14�I1'I�Nll�lf.R . <br /> (IbiFn <br /> fiPF�UPV�LO� A{/.�nv <br /> G1111 fl11�tV�tit:S�lnCl��n('.! <br /> _ __.� ... -r� <br /> rvrtorcona nnrs�rra�vtnnr CRYOFEVERETT ri�nucwon.c <br /> LOCALSIILES -- — —�— —"—--- <br /> �„�E TAX CODE IS J105 To7AL <br />
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