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4719 5TH AVE W 2016-01-01 MF Import
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4719 5TH AVE W 2016-01-01 MF Import
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Last modified
4/3/2017 9:51:25 AM
Creation date
4/3/2017 9:51:12 AM
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Address Document
Street Name
5TH AVE W
Street Number
4719
Imported From Microfiche
Yes
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`�� ��� C�NSTRUCTIOIV Y� '��� <br /> everett PERMIT PERMITNO. 2� 672 <br /> 259 - 8745 <br /> O DEMOLITION �1 COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING � SIGN <br /> OWNER MAILADDNE55 GT\' ZIP VHONE <br /> Pacific HLts and Castles 1420 NW Gilman IIlvd. #2272 Issaquah, WA 98027 392-9105 <br /> ARCHITECT OP�ES�GNER MAIL AODRE55 CITY ZIP VNONE <br /> GENERAL CONTRACTOR MAILAOORESS CiTY ZIP PHONE LICENSL F �� <br /> Owner PACIFHC161KA ' <br /> MECMANICALCONTRAGTOR MAiLApOf�LSS CITY ZIP PHONE IIGENSEM <br /> Pll1MBINGCONiPACTOR MAILADDRESS CITV ZIP Pi10NE LICENSE• <br /> CLASS OF WORN <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORN <br /> S 63,900.00 <br /> OESCRIBE WORN � <br /> New Wnstruction <br /> MEATSOURCE <br /> ❑ ELECTRICITY � GAS ❑ WOODSTOVE ❑ OTHER � <br /> PROPOSEO US[OF�111L�It1G '. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ; <br /> Single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND ��� <br /> LEG/LDESCRIPTIONOFPROPENTY�SMOWDELOWOFATTFCHFOUfiWPIES� CORRECT. ALL PRCVISIONS OF LAWS AND ORDINANCES '' <br /> ior 13 eiocK _ oF Greenwood Bluff GOVERNING THIS 7YF'E OF WORI< WILL BE COMPI_IED NlITH i <br /> WHETHER SPECIFIED ,iEFEIN OR NOT. THE GRA�. 'ING OF A <br /> PERMIT DOES NQT PREiUME TO GIVE AUTHORITY TO � <br /> VIOLATE OR CANC'cL TF!E PROVISIONS OF ANY OTHER ' <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR �� <br /> THE PERFORMANCE OF CONST�'.�1CTION. �� <br /> JOB ACUFESS SIGNATURE OF CONTRACtOR.AUiIl0iI1ED AGENT,Un uWNER DATE �, <br /> 4719 Sth Ave. W. X ��'� 3 &`� <br /> PLUMBING MECHANI AL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TY9E OF E�UIPMENT FEE <br /> 3 WATER CLOSE?�TOILET) IS OO A�C—A/HNDLG UNITS—H.P. <br /> 1 BATHTUB 5 QQ REFRIGEFlATION UNITS—H P.EA. <br /> ? LAVATORV�WASH�ASIN� 1S �0 801LER5—�S.U./H.P. <br /> 1 SHOWER S OO GAS FIRED AL UNITS—flT.U. <br /> 1 K!TCHEN SINK 8 DISP. S OO fOFCED AIq SVSTEMS--BS.U. AI EA. � <br /> 1 �ISHWASHER 5 (1� WALLHEATERS—�S.U. M <br /> LAUNDRYTRAV UNITHEATERS—�.T.0 M <br /> 1 CLOTHES WASHER S OO EVAPORATIVE COOLERS <br /> URINAL j CLOTHESDRVERS ��(� p <br /> DRWKING FOUNTAIN 4 VENTILATION FAN �L? *���*�k ' <br /> FLOOH DRAIN 1 iiANGE NOOD � i <br /> BACKI LOW PREVENTERS 1 NlATER HEATER �I`JOOGi(�1�� I <br /> ROUFDRAINS—RAWLEADERS WOODSTOVE EL�G q <br /> SINK�SERVICE—[3AR.ETC.) 1 METAL FIREPLACE d CHIMN ' • I <br /> __ FlREPLACE:NSERT MECH �l i <br /> HEAT PUMP I <br /> GA$PIPING I <br /> EkHAUSTFAN `k� . <br /> � OG��� <br /> suerorn� s 55 0 sue£6iYdi 25 67 50 <br /> PERMIT S PERF�t'II—S LEiSO O i <br /> TOTALFEE s TardiDf�06230 fi� Q . <br /> FHONT SEtBACK HEAP 5[Tf1nCK SIpE SETOACK pLAN CHECH NUM�ER P �; $ {J IPT NO _ <br /> 2o zo 6 ae/21411 CHE6iic $137 .50 , <br /> USEZONE IOTARtn ' <br /> vncnNi sire FEES VALUATION FEE '� <br /> R-1 9254 fjlrEs ❑No <br /> TYPEOFCONST OCCUPANCYGROUV NUOfO\ti[LLW6UMi5 �WLDINCi 563,900.00 Q7�] rJ0 <br /> V—N R-3 1 PLUMBING <br /> sizeoro�oc. r�o.oFsronies n+nx occ �ono 55 00 <br /> LBOO Z rj�� MECHANICAL C)� SO <br /> INVESTIGATION FEE Sec.30J�e) <br /> FIRE SPFINKLE�S REOUIRED ❑YES CFNO <br /> STATEOWLDINGSURCHARGE 3 SO <br /> S�nTE ENERGV SUFiCHARGE 15 00 <br /> nvpuCnrioNnccor v�nrvsC�ieCKEom nrrnFonissunriceov <br /> DPIVEWAY PERMIT Z� <br /> S.H. J.L9. ,7,p�, TOTAL 638 �0 <br /> PERMIT VALICATION <br /> WHEN PROPERLV Vl�LInATED ON THIS SPACE)THI$IS YOUR PERAIIT <br /> N <br /> C�-- <br /> C.� <br /> r <br /> N <br />
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