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u��t,�e„ <br />an oF <br />everett <br />259-8745 <br />CnNSTRUCTION <br />PERM�T <br />PERMIT PfO. <br />20862 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br />OWNEfI � MRIL/O�RESS CITY ZIP PMONE <br />Ter.aco Oil & Mrk� P. O. Box 5010 Bellaire TX <br />MAIL AOORE55 <br />CITY ZIP PHONE <br />fiENEFr1LCONTMGTOR MAILADDHE55 f,ITY ZIP PI/ONE LICENSE� <br />S& 5 Sa[gic Sign Co. 13190 Stone Ave N Seattlr�, WA 98133 365-0242 <br />ME�HANIG4LCONTRACTOR MAILADORESS CITY 21P PHpNE '.ILENSEx <br />PLUM0INGCONTRACTOR MAILAOOFE55 GITY ZIP VHqNE LICENSE• <br />CLAS:• (JF WORK <br />N� NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUIL�ING RELOCATION <br />VALUATION OF WOPH <br />i18�0. <br />OESCRIBE WORK � <br />Wall signs and one pylon sign <br />Nenrsouace <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT _ BLOCH <br />10220 4t1: Ave W <br />PLUMBIN3 <br />NO. I TYPE OF FIXTURE OR ITEM <br />'NATER LLOSET (701L <br />BA7'HTUB <br />LAVATORV�WASHBA: <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEP <br />URINAL <br />DRWNING FOUNTAIN <br />PLOOR DRAIN ' <br />BACK�LOW PREVENTERS <br />ROOF ORAINS - fiAINLE.I�ERS <br />SINK (SFRVICE - BAR. ETC.) <br />SUBTOTAL <br />PEqM1T <br />TOTAL FEE <br />TYPEOFCONST. I OCCUPANCVGNOUP <br />S12E OF BL�G. <br />APPLICATION ACQ 6V <br />M.M. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LO A LAW REGULATING CONSTRUCTION OR <br />THE PERFORM�N E OF CQNSTRUCTION. <br />SIG/QAiURE 05�8(JNtA�C OR. AUTHO�I�Eb AGENT, Ofl OWNER DAyE � <br />FEE N TVPE OFEQUIPMENT <br />C - A.�HNDLG UNITS - H.P. <br />FEFRIGERATION UNITS - H.P. EA. <br />BOILERS - B.T.0 /H.P. <br />GAS FIRED A.C. UNITS - B.T.U. <br />FOFCED AIR SYSTEMS - B.T.U. M EA. <br />WALLHEATERS-B.T.U. M <br />UNITHEATERS-B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHLSDRYERS � � <br />VENTILATION FAN <br />FAN�EHOO� <br />WF.TER HEATER <br />WOOD S70VE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />� FXHAUSTFAN <br />PLAN CHECK NUMBER <br />ANTSITE � FEES <br />?5 ❑NO <br />OF OWELLING UNITS <br />PlqNS CHECftEO 6Y APPR. FOR I; <br />Be Bd <br />BUILDINCa <br />PLUAIBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SU <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />FEE <br />VALUATION <br />$ 18�0. <br />�� 304�e) <br />STATF.ENERGYSURCHARGE I �CY <br />DRIVEWAY PERMIT <br />FEE <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />A�DHESS FlLE <br />0 �� <br />