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r� a�s.� <br />C17V OF <br />everett <br />259-8745 <br />C �NSTRUCTION <br />PERMIT <br />PERMIT NO. 1 J 5 1 B <br />❑ f.�MOLITION ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBING #77 BION <br />OM�MEN NI11L1100RE55 CIfY IIP R�pN[ <br />Domino's Pizza 1001 N. Broadway �eret, WA 98201 <br />�PCHREGT OR ^ESIfiNER <br />Z�P PNdIE <br />OENCRQ CONTN�CTON Mnll �DORE55 CITY BP PIIONC IICENSE • <br />Meyer Sign Co. 512 1/2 Mfnor Ave. N. Seattle, WA 624-4243 6tEYER1219H6 <br />MEGH�NIC�LCONTR�GTOP M��L�DD�kSS f.itY !IP vHONE LICENSE� <br />RWBINO CONTP�CT011 M�IL ��pRE55 CiTv piP PHOhE LICEPKE � <br />CM89 0i V/011lt <br />Q7[NEW ❑ AODITION ❑ ALTERATON � REPAIR ❑ AEMOLITION ❑ lUILDINO RELOCATION <br />V�LUATION OF Wpll( <br />t 1500.00 <br />UEBGRIBE M/OAR . <br />Install 1 S/F wall siqn <br />O ELECT111CITY ❑ OAB ❑ WOODBTOVE ❑ OTMER <br />Reetnurant <br />LOT � BLOCk _ <br />1001 �$" Broadway <br />•LUMlING <br />�h <br />TY�[ OF FIIITURE OR ITEM <br />WATFR CLOSET (TOILET) <br />BRTMTUB <br />I AV�TORY (WASN BASINI <br />OISMW�SHER <br />LAUNORVTR�Y <br />CLOTMES WASHER <br />URINAI <br />DRINNINO FOUNTAIN <br />ROOF DN�INS - <br />SINN �SERVICE - <br />S.H. <br />I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TqUE AND <br />CORRECI�. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEHNING THIS TVPE OF WORK WIL.L BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINO OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHOFlITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br />ST�R LOCAL LAW REGULATING CONSTRUCTION OR <br />TH PER ORMANCE OFCONST UCTION. <br />SiG TURE f NTq��TOR. ��TNORiZEU • P OWNEB D�TE <br />z ...�l�-r��_�., a z-��_o� <br />MECHANICAL <br />A�C -- AMNOLG UW fS - M P <br />FEFRIGERATION UNITS - H P EA <br />BOILERS - B T U/H P <br />OASFIREURC UNITS-BTU <br />FORCED AIR SVSTEMS - B T U <br />WALL HE�TERS — B TL <br />UNIT HE�TERS — B T U <br />EVA{'ORATIVE COOLERS <br />CLOTMESDRYERS <br />VENTILATION FAN <br />RANOE HOOn <br />WATEH MERTER <br />WOODSTOVE <br />�IETRL FIREPUCE 6 CHIMNEV <br />FIREPLACEINSERT <br />MEAT PUMP <br />6A5 PIPINO <br />EXHRUSTFAN <br />tUs TOTAI { <br />PERMR { <br />TOTALifE � <br />�n sereeCK SiDE SETBecK PUN CMECK NUMBER <br />fARE� <br />V�CANT 91TE FEEB <br />❑YES ❑NO <br />LW�NCYOqOU1' NOOfUWELL�NOUNiTS BUILDINO <br />F'IUMBINA <br />OF STORIE5 IA�k OCC LO�D <br />MECHANICAL <br />IEckEoer �PPq rOqlsSu�NCEer <br />B.E. BE.. <br />eus ro <br />PfRY1T <br />M EA <br />M <br />S Lr]0�.00 <br />INVESTIOATION FEE I � �� � �lB) I -' '- I � � � <br />STATE BUILDIN(7 3URCHARGE :,, , <br />� <br />STATE ENEROVSUFCHARGE ' ` <br />DRIVEWAY PEAM�T <br />TOTAL <br />ocarir v�uv�noN <br />WMEN PROPERLY VALID�TEO �IN THIS SPACE� THIS 19 YOUfi PERMIT <br />�D'JRF.SS f�llk <br />F] � � <br />