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�� <br />CITY OF <br />everett <br />259-8745 <br />C^NSTRUCTION <br />PERMIT <br />. � <br />PERMIT NQ: . � � � J � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL � PLUMBING C� S16N <br />��p MAiL nDDRE55 GITr 21P ��� <br />Fandy Vanic}L 902 N. Brodaway Everett, WA 98201 <br />�RCMRELT Oi1 DESIGNEH MAIL ADDAE55 CITv ZIP 1'HONE <br />6ENEN�L CONTRACTOR MRR �DDRE55 CRY 21F RIONE LICENSE � <br />Bellingham Sign Co. 2434 Aldergrove R.d Ferndale, WA 98248 389-1652 EELWS*1608R _ <br />MECN�NIGRL CONTR�CTOH MRIL AODAE55 CITY ZIP PMIME LICENSE � <br />BELLIS*178N9 <br />RUMBINGCONTR�9TOR MAILADDRE55 QTY ZIP PHGPIE LILENSE• <br />;LA550! WOAN <br />�IEW ❑ ADOITION <br />��LWTION OF WORN <br />s 2362.00 <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Install S/F elect. sign on frmnt of bldg. �ounted to facia by 8-1/2x3• lags through wall stt <br />HE�iSpUHCE <br />❑ ELECT111CITY ❑ 6A5 ❑ WOODSTOVE O OTHER <br />LOT _ BIOCK � <br />�Dlt <br />PLUM/INfi <br />►W. T�PE OF F17 <br />W�TER CLOSET �TOILI <br />B�THTUB <br />UVATORY �WASH BAS <br />SMOWER <br />KITCHEN SINK 6 DISf'. <br />DISHW4SHER <br />LAUNOflYTRAY <br />CLOTMES WRSHER <br />DRINNING FOUNTAIN <br />FLOOF ORAIN <br />AqCNFLOW PREVENTEFS <br />RO(1F DRAINS — RAINLEADERS <br />SINN �SE�VIC[ - BAR. ETC � <br />TVPE OF COYST <br />512E Or BLDG <br />�cc er <br />S.li. <br />ITEM <br />6UB TOT11L <br />J � <br />SIpE SCipACK <br />V�CAM SITE <br />❑YES ONO <br />NO O` OWELUNG UNRS <br />Mn4 OCC lORO <br />AfwP fOR iSSURNCE BY <br />Elec. N.V. <br />B.E. <br />I HEREBY CEFTIFY TIiAT 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 TVPE OF WORK WILL BE COMPLIED WITH <br />WHETffER SPECIFIED HEREIN OF fJOT. THE GRANTING OF A <br />V'ERMIT DOES NOi PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PHOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF C STRL'CTION. <br />SiGNatURE O/ Q�j0. A� Mf1K�0 �G[Nt, OR ONNER �_ I SATF.�� <br />X � U <br />MECHANICAL <br />NO.I T�'� <br />A;C — A�HNULG UNITS — H P <br />RFFRIGERATION UNITS — H P. EA <br />ROILERS — � T U/H P. <br />GASFIREDAC UNITS—BTL. <br />FORCEDA�RSVSTEMS—BTU MEA. <br />WALLNEATERS—BTU M <br />UNIT HEATERS — B T U M <br />EVAPOFATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEnTER � <br />WOODSTOVE <br />METAI FIREPLACE 8 CNIlANEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPM(i <br />E%HAUSTFAN <br />SUB TOTIIL I <br />PERMIT t <br />TOTALFEE 1 <br />GHECNNUMBEH FLE RECEIPT <br />DU!I.DING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />�fATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />VALUATION <br />S.... �.. .. n <br />9eC.3041e1 <br />l»� <br />WHEN PROPERLY VAIIDATED IIN THIS SPACE� THI515 VOUR PERMIT <br />R JDFlESS FILE <br />121 00 <br />M <br />� <br />M <br />Q� <br />� <br />