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'h``�-`�"'�'�"" � �''�JNSTRUCTION <br /> C�TY OF <br /> everett PERMIT P�RMITNO. 22 �� � <br /> 259 - 8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING u SIGN <br /> OWNER MAIL p�ORC55 CITV ZIP PHONE <br /> DP Oil 3523 Broadway Everett <br /> TENnNT MAII RDDRE55 GTV IIO PNONE <br /> ARCHIt[CT OR DESIGN[R AAAI�ADDRE55 QTY 21P AIONE <br /> GENERAL CONiRACTOR MAiL RO�RE55 CITY 21P PHONE IICENSE� <br /> Tube Art Display 808 Aloha St. Seattle. 98109 284-0420 TUBEAD"31105 <br /> MEd1�N�CALCONTRRGTOR MMLNODRE55 C�TY 21P MIONE UCENSE• <br /> PIUMBINGCONTq�CfOR MI.ILAD�RE55 CITV ZIP PNONE LICENSE� <br /> CL�SS OF WORK <br /> �TIEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLIT�ON L7 BUIIDING RELOCATION <br /> CONTACT PERSON ANO PIiONE NO i�OTMER THAN ApOVE <br /> CONTRACT PRICE OF WORK:S <br /> �[SCRIPE WOFN aND SOUANE[OOT�GE INVOLVED <br /> Install 6 maintain (1) D/F P�le sign at same location as existinq siqn <br /> IRemove existing sign <br /> I PPOPOSEO USE Of AURDiNG <br /> 3523 Broadway Gas Station <br /> IEf.AI DESCRICTION OF Pq01'ERTY�SHOW BELOW ON ATTACH FOUR COPIES) <br /> LOT_ BLOCR__OF <br /> JOBRDDRE55 <br /> 2 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WpTER CLOSET(TOILET) A/C—AiMNOLG UNITS—H P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M EA. <br /> LAVATORV(WASN BASIN) UNIT NEATERS—B T.U. M <br /> SHOWER CLOTHESDRVERS <br /> NITCIIEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER RANGEFIOOD <br /> LAUNDRVTRAV WATER HEATER <br /> CLOTHES WASHER 1!'OOG STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNFV <br /> DflINKI`.JG FOUNTAIN FlREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTEfiS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINN(SEFVICE—BAR.ETC.� <br /> �_ <br /> SUBTOTAL S SUBTOTAL f <br /> PEflM1T f PE . .1 .rf r o .. ..... <br /> TOTAL FEE f TOTAL FEE . f <br /> FROni SETBnCK aEnR SETBnGK S�DE SETonCK PLAN CHECK NUMBER �Q.".�.,i RECEIPT NO <br /> ELG'i; 4� .00 <br /> USEION[ LOT�REA VACRNTSITE <br /> I — � ❑ves O No FEES ° °E FEE <br /> rvrcorcoNsinur,Troxauownn�c ttrtorcoxsrnucnoaacruni a�o�,T� rmrowtuwcuvas BU�LDING ��`�-0 $ 24 00 <br /> PLUMOIIJG LLDG S'J .00 <br /> 512E OF BLCG NO OF STORiES BASEMENT <br /> ❑YES ❑ NO MECHANICAL � ` � <br /> OCCUPANCVLORD FlPESPHINKLERSPW'0 MEIfiHTLIMiTATiON OTHER qpOQ�2e9c <br /> i ❑VES ❑NO �., ' <br /> aE�soNroRsrairuK�EAs STATEBUILDINGSURCHARGE `� <br /> STATEENERGYSURCHARGE ELEC 4-' .00 <br /> APPLICATIONACC.BY PLANSAPPROVEDBY CITY OF EVERETT � <br /> LOCAL SALES PUBUG WORKS Y` • <br /> TAX CODE IS rorn� za oa <br /> 3105 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN i '� �, "� <br /> ADGRESS FILE , � � �:, <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ` <br /> i _ _ <br />