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� i <br /> `�E�� C`�NSTRUCTION - - . p + <br /> everett PERMIT PERMITNQ:- �� �o� <br /> 259 -8745 <br /> . - ❑ DEMOLITION O COMBINATION ❑ BUILDfNG ❑ MECHANI4'AL ❑ PLUMBING 6dcSIGN <br /> OWNEfl MA�LAOpR[55 CItY ZIP PMONE <br /> Franco Oil Oo. 6600 SW 92nd #115 Portland 97223 8 244-�5•366 <br /> ARb�iTECTOR0E51GNER AIAILADORL55 CITY ZIP PHONE <br /> G[NCNRL CONiIi�CTOR MAII RODR[55 CITV 21P %IONE LICENS[� . <br /> jf <br /> Meyer Sign Co. of Ore. 2855 W, llth Euqene 97402 (503)484-1844 nfFVFaccia�.Tr � � <br /> � 1A[CMRNICRLGONTOAGTOR MAILROpRE55 CITY ZIP PMONE UCENSEt <br /> �� � PLUM�INGCONTR�CTOR MAILAOOnE55 CITY IIP {mOrvE IICENSE• <br /> A� x <br /> C H <br /> �H t/� cussaFwonK <br /> �y� � I� NEW ❑ ADDITION ❑ALTERATION ❑ qEPAIH ❑ DtMOLITION ❑ BUILDING HEIOCATION <br /> � � VRURT'ONO�WORK <br /> 0�Q f 680.00 � <br /> y M hp oEsca�eEwoaK <br /> y ~ Replace existing I.D. sign with new s ahanqe copv face on 3'x14' wall G.qr,. <br /> r�i Ti � MEAT SOURCE <br /> ���,�, d ❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHEN <br /> �� � movosco usE or oui�o�rvc <br /> H� hiini mart I HEREOY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �� n APPLICATION AND KNOW THE ShMC TO BE TRUE AND <br /> iecn�orscnianonorveaaEmv„��owoeiowoantracr�rounco��i�si CORRECT. ALL PROVISIONS OF lAWS AND ORDINANCES <br /> Y y� GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ,�,� ior_eiocK _or WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> �� y PERRIIT DOES NOT PRESUME TO �IVE AUTHORITY TO <br /> �..i V�OLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> C1 V� STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> � � THEPERFORMANCE OFCONSTRUCTION. <br /> JOOPDDRESS SiGNATU4�EOFCONTRACTOP.AUiMOPIZE�AGENT.OR0IYN[P �RTE <br /> y p y 16 H1tAt7[89p7f Broadwa X <br /> � � PLUMBING MECHANICAL <br /> p �� �� ' NO. TYPE OF FIXTURE OH ITEM FEE NO. TVPt OF EOUIPMENT FEE <br /> e WATER CLOSET IiOILET� A/C—A/HNDLG UNIiS—M P. <br /> BATHTUB REFRIGERATION UNITS—H P.EA <br /> LAVATORY(Wl.SN�ASIN� OOILEFS—B T.0/H P. <br /> SHO WER Gn5 FIRED A C.UNITS—�.T U. <br /> KI*CHEN SINN 8 DISP. iORCED FIR SVSTEMS—O.T.U. h1 EA. � <br /> OISHWASHER 1YALLHEATERS—BS.U. M I <br /> ' '�t LAUNDRYTRAY UNITMEATERS—B.T.0 M <br /> CLOTHES WASIiER EVAPORATIVE COOLERS i <br /> 1 ' URINAL CLOiNESORYERS <br /> � OFINKINGFOUNTAIN VENTILATIONFAN <br /> '�1 FLOOR DRAIN RANGE HOOD <br /> � BACKFLOW PREVENTEPS WATER HUTER <br /> 1 ' _ ROOF DfiAINS--FAINLEAOERS WOOD STOVE . <br /> � , <br /> SINK�SEf7VICE—BAR.E�CJ METAL FIFEPIACE 8 CMIh1VEV <br /> '�' FIREPLACE INSERT <br /> ' ' HEAT PUMP <br /> _ GAS PIPING <br /> E%HAUSTFAN , <br /> i SUBTOTAI f SUBTOTAL <br /> PENMIT f PEPMIT <br /> TOTALFEE f TOTALFEE <br /> ' iPONT 5[TOnCK nEAR 5[TOACK SIOE SEI�nCh PLAN CHEGK NUMOER J ' � � <br /> ' USEIONE LOTnPEA ypCANTStTE / <br /> B.,Z ❑res ❑rvo FEES FEE <br /> ' TYPEOFCONST OLCOMNCYGROUP NOOFOWELLINGUNITS BUILDING ���9 S OO � <br /> ' PLUMBING ELEC O.00 <br /> SIZE Of AL�G NO OF STONIES �A% OCG LORD <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRESPRINNLERSREOUIRED YES NO � <br /> STATEDUILDING SUFCHAflGE <br /> STATEENERGYSURCHAFGE � <br /> pFRICATIONRCC.OY PLANSCHECKEOOY Af'PR FOBISSUANCE�Y <br /> DRNEWAY PERMIT � <br /> S.H. II.E. B.E. TOTAL 5 00 � <br /> FEHMIT VALIOATION � <br /> WHEN PROPERLY VALIDATED�IN THIS SPACE�THIS IS YOUR PERMIT ' <br /> �• <br /> � <br /> M I <br /> � ; <br /> N � <br /> i1�011ES5 f-IL� � <br />