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10822 5TH AVE SE 2016-01-01 MF Import
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10822 5TH AVE SE 2016-01-01 MF Import
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Last modified
4/3/2017 9:40:44 AM
Creation date
4/3/2017 9:40:39 AM
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Address Document
Street Name
5TH AVE SE
Street Number
10822
Imported From Microfiche
Yes
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hPF3LIC.�TlO� FO��' ,��,p„ <br /> '"'�"'°'°'° GONSTRIUCTION <br /> ��r�F � <br /> everett PERA��T <br /> TO BE COMPLETED IN BLACK INK—PLEASE PflINT <br /> BUILDINCi DEPT. <br /> 259•8745 — p COMBINATION ❑ BUILDINii ❑ MECHANICAL ❑ PLUMBING ❑ SIGN_ <br /> —L' <br /> OWi�FP MRILACORE55 GITY / ZIP VHONE <br /> �GF'/.'i�e� : �n:t �_.S �C.,^:�. 2 3/i /3l"�'/.J.�d. iy,�,.�..:dvl %��% 7'/' S-y�C� <br /> ARCIIRECLORU�ESIGNEN MML��ORESS � CITY ZIP VNONE <br /> �.�M.l' 'Jb�i:1C�.1/ <br /> GENEP�LGONIR�GIOR MqLAODRESS GIiY ZIY PIIONC LIf,[�lSC• <br /> �.�� af :r,�c x�✓�h��s�c.iyY�7 <br /> MECNANIC�LCONfRTCTOF MML�DORESS CIiY ZIP PHONC LICENSC• <br /> S.<w� .71�/i%,.�4' <br /> PLUMNINC.CON1R�LiOf1 M�ILNODRE55 CITY ZIP PNONE IICENSC• <br /> j S�A,{ ,i�� f( `'�<tii� �r� 'i�� 7 `JG:'',Y'l. N.t. /'+7?YIv/,� l�S.s`i Z � <br /> 3 CUSSOf WORN / <br />„y ��� <br /> NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEINOLITION ❑ WOODSTOVE/FRPL.INSERT BUILOING RELOCATION <br /> 4 � �fiONOfWOFN�COSiOfMNI.IIUlS[�WSLaBOBI <br />,. y.�'�t�c' _ <br /> OESCRIBE WORN <br /> �'�! � 5.�, 14 1;:,. ; ,(cJ . <br /> use or aui�ouuc�/ , �� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> .s.�i �.i: 7i�J�"' � PLICATIONANDKNOWTHESAMETOBETRUEANOCORRECT.ALL <br /> IEGRIDES RIP110MOFPROPEpiYI5110WNBElOWONATIRCHFOUNCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPE <br /> � ) lt'E) ��cr���C .Di1'rZ-- OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE- <br /> �o�1.Leioc�_or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHEF STATE OR LOCAL LAW REGUTATINGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUREOFCONTRACTORORAUTHORREDAGENT DNE i� <br /> — �.vC� w �•i u� <br /> X 2 .. .1,i.,s l�.Sf 1��. .d�r�i� <br /> ti� `-3�G, �= y - _ �. <br /> PROJECIAO�RE55 RFPLICA TSCILYBUSINESSLICE NO <br /> %C `1-r f- S��y�r J.�= F.�c,llf. <br /> PWMBINQ MECHANICAL ._ <br /> NO. TYPf:QF FI%TURE FEE NO. TYPE OF EOUIPMENT FEE _ <br /> Z WATER CLOSET(TOILE71 � A�R COND.UNITS—H.P.EA. <br /> /�" BATf1TU8 I�J REFFIGERATION UNITS—H.P.EA. _ <br /> Z LAVATORV�WASNBAS�NI l BOILERS—H.P.EA. __ <br /> � SHOWER GAS FIRED AC.UNITS—TONNAGE EA _ _ <br /> KITCHEN SINK 8 DISP. � FORCEU AIR SYSTEMS—B.T.U. M EA. ' <br /> _� DISHWASHEF WALIHEATERS—B.T.U. M __ <br /> IAUNDRVTRAV UNITHEATERS—B.T.U. M _ <br />� CLOTHES WASHEF _ EVAPOFATIVECOOLERS _ <br /> � �WATER HEA(Efl - ' - - �� � I CLOTHES DRYERS �U <br /> URINAL �- �ENiILATION FAN �l � <br /> �FINKING FOUNTAIN RANGE HOOD U <br /> FLOOR DRAIN AIR HANDLING I1NIi— C.F.M. _ <br /> VACUUM BREAKERS STOVE __ <br /> ROOF�RAINS—RAINLEADERS METAL FIREPLACE 6 CHIMNEY ___ ___ <br /> S�Ni(�SERVICE—BAR,@IC.� WOODSTOVE/FIREPLACF INSERT _ _ _ <br /> -6i ' r ---� v- <br /> SUB TOTAL � � SUB TOTAL S �—�— �C�V_ <br /> PERMIT 3 PERMIi_ S I _ � -- <br /> TOTAL FEE S -�� � TOTAL FEE f '� �I L UU <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> ii10NI5Il0�LN IIL�IISGIB/LN SIOESFTBRCH PLANCHECNNUMBER 1'IAIIQ�fChfFE 1 <br /> "J ��I O , � ' tJIV IlL'U � FEE�� ) (/I REC[I�lNOQ�VfI'�_ <br /> c lJ <br /> ❑5E20NE lO1�NEA yp �H1511E <br /> '7 l ES ONO _ FEES V�LU�TION F[E <br /> / \ (1� <br /> �� (G+p $ol�. � —�— <br /> 1Y{'cOfCONSt OCCUPANCYGROUP NO.OFOWELLINGUNRS OIL <br /> -/t) �' - �i � auaoirvc b �El��• `� —¢C��- ..C) <br /> SiIE Of BIpG Nu O� SIO�UES MA%.00C.LORD <br /> �.,, • � ;.� ' :,i rwn�eiHc ��5`w _ �f' E�� <br /> MECHANICAL 50 .�7��//� <br /> F� . � <br /> FlRE SPRINKLERS REOUIRED ❑ VES ❑ NO <br /> OTHER p� i'N.LV[(. �� G:.�. <br /> PENALTY <br /> M'PIICAI ION�CC 9Y PI A��S CIIECNEO BY APPP.FOR ISSURNCE 6V (y� <br /> TOTAL S�I����J_G U.. <br /> � ��. =�� L • � -- <br />
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