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10511 19TH AVE SE WESTERN BENEFITS INSURANCE 2016-01-01 MF Import
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10511 19TH AVE SE WESTERN BENEFITS INSURANCE 2016-01-01 MF Import
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Last modified
4/2/2017 10:13:49 AM
Creation date
4/2/2017 10:13:47 AM
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Template:
Address Document
Street Name
19TH AVE SE
Street Number
10511
Tenant Name
WESTERN BENEFITS INSURANCE
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APPLICAT� FOR CONSTRUC�� PERMIT <br /> CRy pF EVERETf•BUILDING DIVISION � <br /> 3200 CEDAR SiFEET•EVEREI'T,WA 98201 •(42�257-8810 <br /> ❑ DEMOLfYION ❑ COM8INATION ❑ SUIL�MIG � MECHANICAL L PLUMe1Nfi ❑ fWN <br /> PROJECT ADDRESS• C� I -' �� � � 8 $ <br /> OWM1EN 4l�Gp�S ��j�� ..�� CII� IW hyN <br /> �+�/ O�^i'^��G- ' <br /> 1fM�Nf 4N1 55 f.lrv lV hb�F <br /> •qLM1ICIOPMLU.tP YYI�OqE$$ C:IY )11' 1'�q�lf <br /> OFNENI�lCa1111I.C1pP NYI�MMh55 C11v )�� ��KT� Gt��l11CfMY• <br /> 1ELN1NIC4CON1P1�'�QR II11LM10AE$$ C.Iry I�f' P11'JNf t��rF��CFMSF� <br /> C-'�be€E� ��itrTF .�l�Er nrentL-16 t�6 ��1� V�� �.EJ�(� 2"L 3�M <br /> VIU4lMGCOnIR�RM Mul�01AE55 OlY bo pNpNF SGfFIICFNSF• <br /> E��G�o <br /> cwrn�crmccwwnnK � ��0 HEATINGSYSTEM: �t'.AS ❑ELECTRIC ❑ <br /> �FSCqBFWJf1X f1Sd11PffOO��GF VIXVFO COMt/.C�%PSW�M11'1�'MiNO <br /> ` <br /> '��G un�''l <br /> ^ I HEREBY CERTIFY TNAT : H�VE READ AND E%�MINEU THIS <br /> Y d�. � APGLICAT�ON ANO KNOW TNE S�ME TO BE Tp1iE ANO COPRECT��� <br /> vn000seo usc a eunau PROVISIONS JF UWS�NO ORDINANCES GOVERNING THIS TYPE OF <br /> T ¢yy�� S�LOC � W�AK WiIL BE COMPLIED W�7N WHETHER SPECIFIED NEREIN OR <br /> IFG�l�ESCui��iWa�ip1'EP�YISMWMEELOWp1�i1KMiWOCdYF51 rypT. THE GA�NTING Of A PEPMIT DOES NOT PRESUME TO GIVE <br /> ip� pipcK_.—or AUTHORITY TO VIOUTE OR CANCEL THE PROV!$ION OF 0.NY <br /> OTMER STATE OR IOCQ L�W REGUUTINU CONSTRUCTION OR TME <br /> PERFORM�NCE OF CONSTRUCTION.TMAT I AM�UTHOFIZED BY THE <br /> OWNER UF THIS PFOPEATY TO PERFORM TME WORN FON WMICH <br /> RPPLILATION IS MAOE �ND 1 COMVLV WITN TME 5T11TE <br /> v�nc[i m i o Mw�u 1 � _/ <br /> CONTR:CTORS LAW IB 2]RLW�40 Y96200 WPC <br /> LONSIML'fqM:O�NIFMLfN.MlM�E55 6IFiYbHLHIMlf X� 1t/I I �� <br /> $IGN�lU1E D�I[ <br /> CItYlULNES,G liCENS(Yp <br /> ����p MECHIINICIL <br /> NO. TYPE OF Fl%TURE OR RFJA FEE NO. 7YPEOF EWMPMENT FEE <br /> WATER CLOSET(iOILET) ArC—NMNDLO VNITS <br /> BATHTUB FOFCED AIR SVSTEMS <br /> UVATORV(WASH PASIN) MEAT PUMP � <br /> S��R UNIT HEATERS <br /> NITCIIEN SINN 8 DISP CLOTHES DRYERS . <br /> DISNW�SHER RANGE HOOD <br /> UIX�DRY TR�Y W[.TER HEATER <br /> CLOTHES W�SHER W00�STOVE <br /> VRIN�L METAL FIREPLACE(W00�BURNING) <br /> DRINNING FOUNTAIN FIREPLACf INSERT�YVOOD BURNING) <br /> FLOOR DH�IN GAS FIRE7LACE <br /> B�CNFLOW PREVCNTERS GAS RANGE <br /> SINK(SERVICE—B�P.ETCJ GAS PIGING <br /> E%HAUST FAN ___+_ <br /> T <br /> SUBtO7Al S SUBTOT/4, f <br /> PERMIT S PERMIT f <br /> TOTAIFEE S TOTALIEE f <br /> FOR OFFICE USE ONLY: <br /> fRflNiSflfl�('.R Pf�PS[SB�LR S�OFVfl1CF �II.NC11FjM R fFf PfffP�NO <br /> �� <br /> usera,r �m.at� v.c.rny�c FEES V11W�lION FE_�_ <br /> n.Es ❑w x�nni«: <br /> MFIGN�IIMII�IIOY NOO�MVfllI1K SItEO�MOL�f� <br /> 11411< nll:wiNf <br /> OIX;IF�4C� M��1�I1�9�1f fNL1iNH�lU�D B�YMF�I Mf(N1A411 '••_ <br /> C.POV1' _. _ <br /> ❑rE5 OM -- <br /> iIPfS�INFIEPPC�]'� ni�\lN ICQIII(IY�Ih1NCIRlR — — <br /> OIw(� <br /> RdE�UPMuf00 M�H1v <br /> 41Nf RNIV✓:G5���6JlIf.F <br /> �rrtcr<pva� rievv�rnwvnpr CRVOFEVENETT �����M+�1R4 <br /> LOCAL S�LES --' —" <br /> �•�E TAIf CODE IS J105 TOT�L <br />
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