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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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Template:
Address Document
Street Name
19TH AVE SE
Street Number
10511
Tenant Name
CASCADE REHAB
Imported From Microfiche
Yes
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� APPLICAT�N FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUI!.DING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 92201 •(425)257-8810 <br /> ❑ DEMOLITION O COMBINATION ,ia uUILDING ❑ MECHANICAL ❑ VLUMBINd ❑ SI6N <br /> PR/OJEyCTAD RESS� <br /> �-" r��"���U �� �-�.0�d�o��3fl--��ly <br /> u �oou[ss an Ir r.roat <br /> /'b��R�<b .��r <br /> 1FM�N� [' 4uI�M'Af55 (.Ilv IIV P1qNF <br /> ♦q�Mi(L��1Ef1 f�IKF55 � C��Y )if f�1Di�f <br /> (�f�FFAis4' , `.+ �7J� i�' ��5�a� ��= a_1Ly C,A�n.rZ�a1X3 <br /> cfMn4/cOMm�c�On y4ulWnn[5, C�lr I�r r�q�� 54RI�CfMB. <br /> C✓�(pn..�1 i15,�-311�/ <br /> YFCH�N�C1l f. P.1f,lUP 4��l�f:WE55 f 1'/ !il' 4'nOr.! cl��f llG[NSC� <br /> MP(H5� II. 9Il __y?S_s;ti�_ <br /> riuuOmGcor� �pW �I�IXwESs O�r 1�n rwo•. S�etflK[FSF. <br /> ^ M i <br /> cartn�c�nrvr.t vmn. '— <br /> HEATING SYSTEM: �' GAS ❑ELECTRIC ❑ <br /> MSCaBiWJPM NOS /Yfi00I1GFMV%V[D CW��C11.=1P504�Mf11/'��M' f�/1q, C � �J <br /> r�",-�f�� T� �� r u�n��n in ulu` �i ��ci-4�-Lll�C-� - <br /> ���n _i m r _ <br /> �— I HEPEflY CERTIFY TNpT I HAVE FEA� AND EXAMINED THIS <br /> APVLICATION RND NNOW TME SAME TO BE TRUE AND CORRECT A�L <br /> wqnoso oa.nnr nInmmr. PPOVISIONS OF LAWS RND OROINANCES GCVEPNING TNIS TYPE OF <br /> !�!M1oJJ� �• �a��tr.. WORN WiIL BE COMPUEO WITH WHE7HER SPECIFIED MERE�N OR <br /> t[tunEsceu�norvwrnpr¢prviSrroxMBF�owou�rocxmnconESi NOT. THE GRANTING OF A PERMIT OOES NO7 PRESUME TO GNE <br /> im NiacR or AVTHORITY TO VIOUTE OR CANCEL TNE PROVISION OF ANY <br /> OTNER STq�E OR LOCAL LAW REGUUTING CONSTRUCTION OR THE <br /> PERFORMANGE Of CONSTqULTION 7M�T I AM AUTHORIZEO BY THE <br /> OWNER OF TNIS PROPER�Y TO PERFORM TME WORK FOR WHICH <br /> � RPPI.ICATION IS MAOE AND I GOMP�V WITM THE STATE <br /> nu¢rt w i o mmptn CONTRRCTORS UW 1B 2]RC W RNO 296 200 W4C <br /> C� l /�`h� Gb D/O / C <br /> Cp151111K�RlNIU�NIfMIFRLOMESi.�[lFtMp�F� PEII �. � /D�_�O _ <br /> FC �I U�I( <br /> LilYBU4MS5l�C[NG[NO <br /> PLUYBINC MECNANIC�L <br /> NO. TYPE OF FlMURE Oii REM FEE NO. TYFE OF EOUIPMFIIT FEE <br /> WATER CLOSET�TOILET) NC—NNNDLG UNRS <br /> BATMTUB FOPCED AIR SVSTEMS <br /> IAVATORY(W�SH B�SIN) MEAT PUMP <br /> SHOWER UNIT HEATERS <br /> NITCMEN SINK d DISP CLOTMES DRVERS <br /> DISHWASMFR AANGE HOOD <br /> UIUNDRY TRAY WATEF HEATER <br /> CLOTNES W�SHER ��000 STOVE <br /> URINAL METAL FIREPLACE�WOOD 9URNING� <br /> ORINKING FOUNTAW �IFEPLACE INSERT p"100�BURNING) <br /> FLOOR�RAIH GAS FIREPLACE <br /> BRCKFLOW PREVENTERS GASRANGE <br /> SINK(SERVICE—BAR.ETC.) 3AS PIPING _ <br /> E%HAUST FAN _i_ <br /> SUB TOiAI f SUB TOTAL f <br /> 7ERMIT S PERMIT f <br /> iOTAIFEE S 70TALFEE S <br /> FOR OFFICE USE ONLY: <br /> innwurn•cn nr�nsrin.c. sio[sttn•c. runa�xx�uvwrn «r�� � �rcnmuo <br /> U� y� r <br /> use mrr �m�uu v�.c�v�snr FEES V�LU�TION FEE <br /> orrs w -- -� Q�o 3 � L� <br /> RiN�P�Nl. ' <br /> NEIGMI IIV111�iO4 ti0 b OWfIIING SII/F�W 91 �RI �'� �-�� � <br /> UMi14 /TO� vIV4P�4f. � + _ <br /> .__ ��_ . _._.__'_ _ _ _.._"_ <br /> CCCIII'14!:v 4`rl�y�' Vf�C111YN11(1�U 9�5 Vf�l 4f1�.1��4�1:�1 <br /> �x,�`S / p o?O --- - --- --- -- <br /> o.�z ,n <br /> m��cysru-�•„iruuion��-- nr.s� �p \ •owunNurv�sortc. <br /> /N LIl ��./t �G(J ao�En _.__ __ __-_�_ <br /> nutei.: aumo ' nf.�ov —" -T <br /> �/�s \.SO'ar sunninitu��csnnn�mr.t '_'..- _-""�1�! <br /> �— � <br /> rrrinira•ic, ri..cs��ovrnor CRYOFEVEREI'T ���xi�cwon.c <br /> U N ' fi LOCALSALES — - �—" <br /> out i� (r0 TA%CODE153105 707AL _ � r ��'(� <br /> I \ / <br />
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